EmailMeForm
Christ Kidz VR Registration
Please fill out the following information and click submit to register.
Adult's Name
*
First
Last
Child's Name
*
First
Last
Email
*
Phone
*
###
-
###
-
####
Grade
*
Please select
First
Second
Third
Fourth
Fifth
PHOTO/AUDIO RELEASE: By participating, I give permission for images, video, and audio of the participant to be used in whole or part in publication, audio-visual presentations, promotional materials, social media, or in other similar ways.
*
Yes, you may use pictures and video that I post or email of my child
No, please do not use pictures or video that I email to you of my child