5:30-8:00 PM EST
Dinner provided for children attending. ***Kindergarten - 6th grade***
FOR KIDS - **click here to register**
Name
*
Last Name
Name
Last Name
Name
Last Name
Name
Last Name
Current Age
*
** Must be 5 years or older**
Current Age
** Must be 5 years or older **
Current Age
** Must be 5 years or older **
Current Age
Grade Just Completed
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Grade Just Completed
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Grade Just Completed
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Grade Just Cpmpleted
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Phone Number
Allergies or Medical Concerns
*
Allergies or Medical Concerns
Allergies or Medical Concerns
I grant my permission for Concord Baptist Churchto use pictures of my child on their website for informational or promotional purposes.
*
YES
NO
Parent or Guardian
*
Kids Shirts (FREE)
Please Select
Y - XS
Y - S
Y - M
Y - L
Y - XL
A - S
A - M
A - L
(optional)
Kids Shirts (FREE)
Please Select
Y - XS
Y - S
Y - M
Y - L
Y - XL
A - S
A - M
A - L
(optional)
Kids Shirts (FREE)
Please Select
Y - XS
Y - S
Y - M
Y - L
Y - XL
A - S
A - M
A - L
(optional)
Kids Shirts (FREE)
Please Select
Y - XS
Y - S
Y - M
Y - L
Y - XL
A - S
A - M
A - L
(optional)
Submit
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