Holiday Lock-In Registration Form

Holiday Lock-In Registration Form

Peace, Praise & PJ's
Event Details
- Date: Wednesday, December 20th
- Time: 7:00 PM - 10:00 PM
- Location: Ebenezer Baptist Church (The Church that Reaches Out)
- Drop-Off Time: 7:00 PM
- Pick-Up Time: 10:00 PM
About the Event
School's Out & We're Ready to Have Some Fun! We're celebrating the holiday season with a night of fun, food, and fellowship at Ebenezer Baptist Church’s Peace, Praise & PJ's Holiday Lock-In! This event is designed for kids of all ages to celebrate the holidays with their friends.

Children will enjoy dinner, tasty holiday treats, and exciting interactive games where they can win CASH prizes. From festive activities to fun competitions, we are set to have an amazing time.

Children ages 7 and up can attend without a parent or guardian, but children under 7 must have a parent or guardian present throughout the event. Plus, the child who brings the most friends will win a special prize—so spread the word!

Dress in your favorite cozy pajamas, bring your holiday spirit, and join us for an evening that’s sure to be unforgettable!
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Email*
example@example.com
Child's Information
Child's Name*

First NameLast Name
Child's Email (if applicable)
example@example.com
Child's Mobile Phone (if applicable)
Please enter a valid phone number.
Birthday*

MonthDayYear
Date
Gender*
Age/Grade*
Allergies or Specific Needs
Will the child be accompanied by a parent/guardian? (Required for children under 7 years old)*

YesNo
Emergency Contact

If different from above
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Waiver and Release of Liability
Peace, Praise & PJ's Holiday Lock-In
Ebenezer Baptist Church

I, the undersigned, as the parent/legal guardian of the child named above, do hereby agree to the following terms and conditions regarding my child’s participation in the Peace, Praise & PJ's Holiday Lock-In at Ebenezer Baptist Church (“EBC”) on December 20, 2024:

Assumption of Risk
I understand and acknowledge that my child’s participation in this event may involve certain risks, including but not limited to physical activities, the consumption of food, and interaction with other participants. I voluntarily assume all risks associated with my child’s participation in this event.

Waiver of Liability
In consideration of my child being allowed to participate in this event, I hereby release, discharge, and hold harmless EBC, its officers, employees, volunteers, agents, and representatives from any and all liability, claims, demands, or causes of action arising out of or related to any loss, damage, injury, or harm of any kind that may occur to my child or their personal property while participating in this event, whether caused by negligence or otherwise.

Supervision Requirement for Young Children
I understand that children under the age of 7 must be accompanied by a parent or guardian throughout the event. If my child is under the age of 7, I agree to remain present and supervise them at all times.

Medical Authorization
In the event of an emergency, I authorize EBC and its representatives to seek and obtain necessary medical care for my child, including transportation to a medical facility. I understand that I am financially responsible for any medical expenses incurred.

Photo Release
I understand that photos and videos may be taken during the event for EBC’s promotional and ministry purposes. I grant permission for my child’s likeness to be used in such materials.

Acknowledgment of Guidelines
I agree to follow all event guidelines set forth by EBC and understand that failure to do so may result in my child’s removal from the event.
Signature

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Holiday Lock-In Registration Form

Event Details

Parent/Guardian Information

Child's Information

Emergency Contact