FALL FEST REGISTRATION FORM

Deadline October 25th 12am (Midnight)

AGES 5-12

Child's Name *
Child's Name
Parent/Grandparent/Gaurdian Name *
Parent/Grandparent/Gaurdian Name
Phone *
Phone
Address *
Address
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Number *
Emergency Contact Number
I give permission for my child to be in pictures and videos for promotional use on Hamilton Church of God website, social media platforms (Instagram, Facebook, Snapchat), news letters, brochures or advertisement, *