Event Registration

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K-5 Kids Midweek | Spring PART 1 | 2022 on Wednesday, January 12, 2022 @ 6:00 PM

*Attendee's Grade:
*Attendee's Gender:
*Are there any allergies or dietary restrictions we should know about?:
*Are there any medical related special needs or issues that we should know about?:

Please complete the following with Guardian Information. 
*Guardian First Name:
*Guardian Last Name:
*Guardian Phone Number:
*Guardian Email:
*An adult age 18 or older must remain on the Rolling Hills campus from 6:00pm (check-in) to 7:30pm (pick-up). Please select where you'll be located on campus from the list of options below. 

Photo Release Agreement

I give Rolling Hills Community Church permission to use my child's likeness in a photograph, video, or other digital media in any and all of its publications, including web-based publications, without payment or other consideration.
Rolling Hills Community Church will only use photos and video from Kids Midweek Programming privately: for internal publications, internal promotion of future kids ministry events, and on our Rolling Hills social media accounts. 



The cost for midweek programming is $8.00 per child. This helps cover all weekly snacks, curriculum materials, and other supplies!