Camp RISE Winter Dance Registration Form
"Frosted Dreams"
Date: Saturday, December 13, 2025🕔 Time: 5:00 PM – 8:00 PM📍 Location: Nett Church Pleasant Hill Lilburn Ga
Adult Attendees:
Name
*
First Name
Last Name
Name
First Name
Last Name
Child's Name
*
First Name
Last Name
Child's Name
*
First Name
Last Name
Child's Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
I consent to photos being taken and possibly shared for promotional purposes.
*
Yes
No
Signature
*
Should be Empty: