Cornerstone Church: 2026 Kids Summer Program
(Please submit 1 form per child) July 29,30,31 6:00PM-8:00PM, Finale Night for the entire family: August 2nd @6:00PM
Child's Last Name
*
Child's First Name
*
Child's Age
Email Address
*
Street Address
*
City, State, Zip Code
*
Emergency Contact Name
*
Emergency Contact Phone Number
*
Any Allergies?
*
If no allergies, please type N/A. (We serve snacks and spend some time outside so it is important to know any allergies whether food allergies, environmental allergies, or something else.)
Church Affiliation (if Applicable)
May we contact you about future events?
Please Select
Yes, Please
No, Thank you
Submit
Should be Empty: