Parent/Guardian Name *

First Name

Last Name

Phone *

(###)

###

####

Select a Session *

Session A (1:00 - 2:00)

Session B (2:30 - 3:30)

Child One's Name *

First Name

Last Name

Child Two's Name

First Name

Last Name

Child Three's Name

First Name

Last Name

Photo Permission *

I give River Valley Community Church permission to post pictures of my child at this event on their website.

Yes

No

Acknowledgement *

I knowingly and voluntarily accept and assume responsibility for the risks of exposure to communicable diseases and dangers that could arise out of, or occur during, attending River Valley Christmas Craft Day.

Yes

No