2026 Hallelujah Night Registration Form

2026 Hallelujah Night Registration Form
Join us on Sunday, October 25 from 5:00-7:00 PM for Hallelujah Night at Southside Baptist Church!! We are located at 1001 Greenhaven Dr, Greensboro, NC 27406. Be sure to bring a bucket for your candy!! For ages 4 through Youth. This is a FREE event.
Parent/Guardian Name

First NameLast Name
First Child's Name

First NameLast Name
First Child's Age
Second Child's Name

First NameLast Name
Second Child's Age
Third Child's Name

First NameLast Name
Third Child's Age
Fourth Child's Name

First NameLast Name
Fourth Child's Age
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about this event?
Should be Empty: