Easter for Kids Registration

Register here for Risen Savior's Easter for Kids on March 19, 2016.

Parent Name *

Parent Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Phone *

Phone

(###)

###

####

Emergency Contact

Emergency Contact

(###)

###

####

Who, other than you, is authorized to pick up your child/children?

Children

Child Name *

Child Name

First Name

Last Name

Age *

2nd Child Name

2nd Child Name

First Name

Last Name

Age

3rd Child Name

3rd Child Name

First Name

Last Name

Age

Allergies

Does your child have any allergies or special needs we should be aware of?