First Name:*
Last Name:*
Phone:*
Address:*
City:*
State:*
Zip:*
Email Address:*
Please enter all attendees' names and the grade level each student will be entering this fall. Adults, please indicate "Adult" in place of the grade level.*
Do you prefer to participate in person or virtually at home on the internet?*
In person
At home
Which day(s) will you be attending? (check all that apply)*
May 31
June 7
June 14
June 21
June 28
Will you be joining us for dinner? (check all that apply)
Yes, on May 31.
Yes, on June 7.
Yes, on June 14.
Yes, on June 21.
Yes, on June 28.
If you answered, "Yes" above, do you have any dietary restrictions or special requirements we should be aware of when preparing meals? If, "Yes". please list them here:
Media Consent:
My submission of this form grants Christ Evangelical Lutheran Church the right to use and publish images (including audio, moving image, or photograph) of my child(ren) and members of my immediate family for educational programs, websites and promotion of church programs. We understand the images may be used through social networking and other forms of media on the internet for the purposes mentioned above. *
Yes, I agree.
Yes, but group photos only.
No, I do not agree.
