Easter Egg Hunt Registration

Please complete the following form to register your child(ren) for the Annual Easter Egg Hunt. You may register up to three (3) children using this form. To register additional children, please complete more than one registration form.
Child #1 - Name (first and last):
Child #1 - School Grade
Child #1 - Date of Birth (MM/DD/YYYY):
Child #1 - Gender:
Child #2 - Name (first and last):
Child #2 - School Grade
Child #2 - Date of Birth (MM/DD/YYYY):
Child #2 - Gender:
Child #3 - Name (first and last):
Child #3 - School Grade
Child #3 - Date of Birth (MM/DD/YYYY):
Child #3 - Gender:
Mother's Name (First and Last):
Street Address:
City/State/Zip Code
Email address:
Father's Name (First and Last):
Father's Street Address (if different):
City/State/Zip Code
Father's Email Address:
Do you attend church?
Please tell me about (select all that apply):
  • Children's Programs
  • Youth Programs
  • Music
  • Bible Study
  • Other
How did you hear about the Egg Hunt (select all that apply)?
  • Advertisement
  • At Church
  • ESL
  • Friend/Family Member
  • MDO
  • Mailing
  • Sign
  • Website