Crossbridge Adventure Week Participant Registration July 20-23, 2026

1
Parent/ Guardian Name* This field is required.
First Name
Last Name
2
Parent/ Guardian Email* This field is required.
example@example.com
3
Parent/ Guardian Phone Number* This field is required.
Area Code
Phone Number
4
Parent/ Guardian Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Additional Parent/ Guardian Name
First Name
Last Name
6
Additional Parent/ Guardian Email
example@example.com
7
Additional Parent/ Guardian Phone Number
Area Code
Phone Number
8
Additional Parent AddressIf different from address already filled in.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
Emergency Contact Name* This field is required.
First Name
Last Name
10
Emergency Contact Phone Number* This field is required.
Area Code
Phone Number
11
Do you attend church?
YESNO
12
If yes, where?
13
Participant Name* This field is required.
First Name
Last Name
14
Participant Date of Birth* This field is required.
Date
Year
Month
Day
15
Participant Last Grade Completed as of July 2026:* This field is required.
Please Select
Please Select
Kindergarten
First
Second
Third
Fourth
Fifth
16
Participant Gender* This field is required.
Please Select
Please Select
Male
Female
17
Will it be okay for this child to use stairs while at Adventure Week? (Some of our classrooms are only accessible by stairs.)* This field is required.
YESNO
18
Participant Allergies, Medical, & Special Needs(Leave Blank if None)
Huge
Large
Normal
Small
Ok
Ok
19
Do you have another child to register?* This field is required.
YESNO
20
Participant Name* This field is required.
First Name
Last Name
21
Participant Date of Birth* This field is required.
Date
Year
Month
Day
22
Participant Last Grade Completed as of July 2026:* This field is required.
Please Select
Please Select
Kindergarten
First
Second
Third
Fourth
Fifth
23
Participant Gender* This field is required.
Please Select
Please Select
Male
Female
24
Will it be okay for this child to use stairs while at Adventure Week? (Some of our classrooms are only accessible by stairs.)* This field is required.
YESNO
25
Participant Allergies, Medical, & Special Needs(Leave Blank if None)
Huge
Large
Normal
Small
Ok
Ok
26
Do you have another child to register?* This field is required.
YESNO
27
Participant Name
First Name
Last Name
28
Participant Date of Birth
Date
Year
Month
Day
29
Participant Last Grade Completed as of July 2026:
Please Select
Please Select
Kindergarten
First
Second
Third
Fourth
Fifth
30
Participant Gender
Please Select
Please Select
Male
Female
31
Will it be okay for this child to use stairs while at Adventure Week? (Some of our classrooms are only accessible by stairs.)
YESNO
32
Participant Allergies, Medical, & Special Needs(Leave Blank if None)
Huge
Large
Normal
Small
Ok
Ok
33
Do you have any additional children to register?
YESNO
34
Please list any other children who need to be registered here.List name, date of birth, grade complete, and allergies.
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Ok
35
Photography and video recording may take place on our campus during activities and events and may be used for Warren promotional purposes and social media. By clicking "yes," you are giving permission for your child's photo to be used in church publication and social media posts on the church Facebook and Instagram accounts.
YESNO
36
Please read the terms/conditions. Terms/Conditions: I/We, the parents/guardian of the child(ren) in this form, hereby give approval for my/our child to participate in Warren Adventure Week. I/We assume all risk and hazards incidental to such participation. I/We hereby grant permission for any church staff or adult volunteer present to obtain necessary medical/dental, or mental health treatment in case of sickness or injury to my child when I/We are not able and agree I/We shall be financially liable for said treatment and agree to indemnify and hold harmless Warren Church, its staff, and volunteers for any such treatment. I/We do verify that the above information is correct and waive, release, absolve, indemnify, and agree to hold harmless Warren Church, its staff and volunteers from any claims, demands, and actions arising out of damage or injury to my/our child while participating. By submitting this registration, you agree to the terms and conditions listed above.
YESNO
37
Additional comments or questions:
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Ok
Should be Empty: