*REGISTRATION FORM

EVENT REGISTRATION FORM

* Indicates required field

Parent or Legal Guardian's Name *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Only register children from the same household on the same form.

Child 1 *

First

Last

Age *

Gender *

Grade *

Child 2 *

First

Last

Age *

Gender *

Grade *

Child 3 *

First

Last

Age *

Gender *

Grade *

Child 4 *

First

Last

Age *

Gender *

Grade *

Child 5 *

First

Last

Age *

Gender *

Grade *

West Jacksonville Baptist Church routinely photographs/video records church services and events such as this because we see the value they bring in helping our ministry reach the community. We also want to respect you and your family's privacy and ask that you let us know whether you wish to be photographed or video recorded.

West Jacksonville Baptist Church volunteers/leaders have permission to photograph/film the minor(s) designated above for any lawful purpose associated with this program. *

No need to bring anything with you!
When you arrive, please visit our registration table FIRST to check in, sign this form, and pick up your free food and game passes!

Submit