2024 LCC Kids Easter Newcomers Registration

Parent/Guardian Information

Parent #1 Name

This address will receive a confirmation email

Phone

Parent #2 Name

This address will receive a confirmation email

Phone

Address

Child Information

Child #1 Name

Child #1 Age

Child #1 Birthday

Child #1 Grade/School

Child #1 Allergies/Special Needs

Child #2 Name

Child #2 Age

Child #2 Birthday

Child #2 Grade/School

Child #2 Allergies/Special Needs

Child #3 Name

Child #3 Age

Child #3 Birthday

Child #3 Grade/School

Child #3 Allergies/Special Needs

Child #4 Name

Child #4 Age

Child #4 Birthday

Child #4 Grade/School

Child #4 Allergies/Special Needs

Medical and Photo Releases

In the case of an emergency, LCC Kids and Leeward Community Church has my permission to release pertinent medical information about my child(ren) to emergency personnel.

Yes

LCC Kids and Leeward Community Church have my permission to take photos and videos of my child(ren) that could be used for promotional material. (Possible uses include but are not limited to: Social Media posts, website media, annual reports, etc.)

Yes

Authorized Pick-Up Persons

Please list any and all (up to 3 people, not including parents) people authorized to pick up your child (Parent card required)

Description

Sun. March 31 @10:45am

Your child's safety is our priority. By filling out this form, it ensures we have up to date contact information and will also speed up the process of check-in when you come to LCC.

*Only NEW infants-5th grade need to be registered via this form.

Adults and all regular LCC attenders, make sure to register for lunch here: https://leeward.breezechms.com/form/easter

2024 LCC Kids Easter Newcomers Registration

Description

Please Fix the Following