Harvest Party Registration Form

HARVEST PARTY REGISTRATION FORM

October 31, 2026 - 5:30 pm to 8:30 pm | Ages: 4 - 11
Halloween Alternative!

For parents who do not want their child(ren) to take part in Halloween activities this is a fun alternative!

Starts off with a pizza party then lots of games with a harvest theme.

No costumes or face makeup allowed.

Registration is required by Sun. October 25th.
Cost is by donation: please be generous! It is for your child(ren).

By cash (give to Sue Dakin) or e-transfer: giving@lighthouseniagara.com (note: Harvest Party).
CHILD(REN) INFORMATION:
Child's Name:

First NameLast Name
Child's Name:

First NameLast Name
Child's Name:

First NameLast Name
Child's Name:

First NameLast Name
Allergies or other medical conditions (state child's name):
PARENT INFORMATION:
Parent's Name:

First NameLast Name
Phone Number:
Format: (000) 000-0000.
Is this your:
Email
example@example.com
NOTE:

You are welcome to stay and watch your child(ren) have fun!

The party ends at 8:30 pm.

I waive any responsibility to all staff and volunteers for any injury that may occur to my child, or lost or damaged items that my child may bring with them.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearToday's Date
Signature
Should be Empty:

HARVEST PARTY REGISTRATION FORM