Event

Registration
Form
MY CHILD IS INTERESTED IN ATTENDING_______________________________________________________________________
(A SEPARATE FORM MUST BE FILLED OUT FOR EACH ATTENDEE AND EACH TRIP)

Attendees Name___________________________________________________________________________
Parents Name______________________________________________________________________________
Childs Age______ Last Grade Completed______ Telephone #(_________)____________________________
Email_______________________________________________________________
Address__________________________________________________________State_____ Zip____________
Emergency Contact_______________________________ Telephone #(_________)______________________

I understand that by submitting this form I am asking Lynn Haven Baptist Church to reserve a
spot at the desired event for my child I also understand that I am responsible for paying for the
costs or making arrangements for the costs to be covered. If my child does not attend this
event I understand that all monies will be forfeited.
Signed___________________________________________Date_______________________

(This form must be completed and turned in to the Church Office with Deposit or arrangements for payment)