Christmas for Kids

First Name:*

Last Name:*

Phone:*

Address:*

City:*

State:*

Zip:*

Email Address:*

Please tell us:
1. All childrens' names
2. The current grade level of each child, pre-K through grade 5
3. Any food allergies for each child*

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.

Submit