Church Activity Online Registration Form

Pleasant Ridge Christian Church Christmas Party

Event Date: Sunday December 7, 2025, 2-3:30 pm
Online Registration

Please note:

Please complete 1 form for each child attending
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Gender

MaleFemale
Grade Completed and Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Siblings Attending (Names and Ages)
Parent/Guardian Information
Name

First NameLast Name
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
E-mail
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Should be Empty:

Pleasant Ridge Christian Church Christmas Party