Family Fall Fest Registration

FAMILY FALL FEST REGISTRATION

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Thank you for joining our FAMILY FALL FEST

Please fill out the information below to register for the FREE Pony Ride, FREE Mechanical Bull. To register for the FREE Can you Escape It? Experience text FALL to (630) 593-1978. Also, by completing this form each you will also be automatically entered our FAMILY FALL FEST GIVEAWAY that will be held Sunday November 7th during our Friends & Family Service. Please note that you must be present to claim the prize.

Please enter Your Information:

Your Name*

First Last

Your Phone*

Your Email*

Enter Email Confirm Email

Please enter Your Children's Information

Only enter those children's names who will be attending Fresh Start VBS.

Child #1 Name

First Last Age

Child #2 Name

First Last Age

Child #3 Name

First Last Age

Child #4 Name

First Last Age

Child #5 Name

First Last Age

PONY RIDE CONSENT

I confirm that I am an adult over the age of 18 and I give permission to the child(ren) listed on this form to enter do a PONY RIDE. By completing this form I allow my children to ride the Pony at their own risk and I will not hold Fresh Start City Church liable for any accidents or injuries that may occur.

Please make a selection below*

I give consent for my child(ren) to ride the pony

I do not give consent for my child(ren) to ride the pony

MECHANICAL BULL CONSENT

I confirm that I am an adult over the age of 18 and I give permission to the child(ren) listed on this form to ride the Mechanical Bull. By completing this form I allow my children to ride the Mechanical at their own risk and I will not hold Fresh Start City Church liable for any accidents or injuries that may occur.

Please make a selection below*

I give consent for my child(ren) to ride the Mechanical Bull

I do not give consent for my child(ren) to ride the Mechanical Bull

Please note that everyone riding the Mechanical Bull must be at least 48" tall.

FREE FOOD BOX

I would like to have a FREE food box delivered in Aurora every week. (While supplies last).

I would like to pickup a FREE food box every week (While supplies last)

I am not interested in a FREE food box.

If you selected to have a free food box delivered, please enter your address below. Thank You!

ADDRESS

CITY

ZIP CODE