Back 2 School Bash

Date/Time
Date(s) - 08/26/2016
6:30 pm9:00 pm

Drop off your elementary, middle or high school kids at the church for a fun night of pizza, games and worship to kickoff the new school year!

Parent1*
First Last
Parent2
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Cell*
Email*
How did you hear about us?*
- Member of Christ Covenant Church
- Friend
- Flyer
- Online
Child's Name
First Last
Gender*
Grade*
Grade
Please list any medical needs or allergies:
Are you going to sign up another child?
- yes
2nd Child's Name
First Last
Gender*
Grade*
Grade
Please list any medical needs or allergies:
Are you going to sign up a 3rd child?
- yes
Third Child's Name*
Gender*
Grade*
Grade
Please list any medical needs or allergies:
Payment*
Pricing: $15.00 per child
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Drop off your elementary, middle or high school kids at the church for a fun night of pizza, games and worship to kickoff the new school year!