Registration

BridgeKids Easter Eggstravaganza Registration

We are excited that you are choosing to be a part of this fun event planned for kids and families that will have a global impact!

Though our event is FREE, you will be given an optional opportunity to donate $5 toward the purchase of a live chicken that will be given to a needy family in an under resourced area of Ethiopia, Africa.

You may pre-register up to five children using the form below. We can’t wait to see you!

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

PARENT'S INFORMATION

Parent First Name *

Parent Last Name *

Parent Telephone *

Parent E-Mail Address *

Address *

City *

Zip Code *

Please enter complete information for each participating child. Once you have entered information for all children who will participate, click the "Submit" button at the bottom of the page. This form contains spaces to enter up to five children. If you have more than five participating children, please complete a second registration form.

FIRST CHILD'S INFORMATION

1. Child's First Name *

1. Child's Last Name *

1. Allergies/Needs

SECOND CHILD'S INFORMATION

2. Child's First Name

2. Child's Last Name

2. Allergies/Needs

THIRD CHILD'S INFORMATION

3. Child's First Name

3. Child's Last Name

3. Allergies/Needs

FOURTH CHILD'S INFORMATION

4. Child's First Name

4. Child's Last Name

4. Allergies/Needs

FIFTH CHILD'S INFORMATION

5. Child's First Name

5. Child's Last Name

5. Allergies/Needs

I/we recognize that photographs and/or video of my child(ren) participating in LifeBridge Church classes or events may appear on the church's printed materials, social media platforms, and/or web sites. By submitting this form, I/we affirm my/our agreement to such uses and release all such images for use by LifeBridge Church.