EmailMe Form - Easter EggStravaganza - Sat, April 12 @ 10 am

Parent/Guardian Contact Information
Name *
First Last
Relationship
Email *
Phone Number
### - ### - ####
Other adults attending with you & relationship:
Children Attending
Let us know what kids will be joining us.
Child Name *
First Last
Child Age *
Child Name
First Last
Child Age
Child Name
First Last
Child Age
Child Name
First Last
Child Age
Child Name
First Last
Child Age
How did you hear about the Egg Hunt? *
Are you a part of a local church? If so, which one? *
Hold Harmless Liability & Photo Release
I acknowledge that participation in the activity involves risk to the Participant (and to Participant’s parents or guardians, if Participant is a minor). The Participant releases and promises to indemnify, defend, and hold harmless the Activity Sponsor for any injury arising directly or indirectly out of the described Activity. Further, I hereby grant permission to Saint Luke Lutheran Church to use my photograph(s) or video(s) on its web site or in other official church publications without further consideration.
Parent/Guardian Signature: *
Clear
Date Time
MM / DD / YYYY