Fall Festivus

Date/Time
Date(s) - 10/28/2016
6:30 pm8:30 pm

Location
Christ Covenant Church

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
What Church do you attend?
Would you like to receive more info about Christ Covenant Church?*
- Yes
- No
Child's Name*
First Last
Grade*
2nd Child's Name
First Last
Grade
3rd Child's Name
First Last
Grade
Is your child bringing a friend?*
- no
- yes
Guest Name*
First Last
Guest Grade*
Guest Parent Name*
First Last
Email
Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Add another guest?
- no
- yes
Guest Child*
Guest Grade
Guest Parent Name*
First Last
Phone
Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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