Back to School Bash Registration — Connect Church

Your Name

First Name

Last Name

Child

Name of 1st child

First Name

Last Name

Please enter what grade the above child will be attending

Child

Name of 2nd child

First Name

Last Name

Please enter what grade the above child will be attending

Child

Name of 3rd child

First Name

Last Name

Please enter what grade the above child will be attending

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Release of Liability

I will not hold Connect Church or anyone associated with Connect Church responsible for any injury, damages, or loss during the back to school bash being held on August 8, 2020 at Connect Church in New Brockton, Alabama. This includes any and all games and food. I take full responsibility for my children and/or minors that will be accompanying Me as well as myself. I also recognize that photos will be taken and may or may not be uploaded to Facebook or other social media platforms. If you agree to these terms please electronically sign your name below