Kids Church Registration

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Event Timing: Every First Saturday of the Month @5pm

Event Place: 4801 A Street Lincoln, NE 68510, Piedmont Park SDA Church | Gathering Place

Contact info: Ilka Fuentes | 402-489-1344 | piedmontparksda@gmail.com

We kindly ask that children be accompanied by an adult. After the program, join us for a fun night of board games and a delicious soup supper! See you there!

Parent/ Tutor's Name *

Phone Number *

Address

Email *

Do you agree to be added to our Kids Church email list?

Yes

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Child #1 *

Child #2

Child #3

Child #4

Child #5

I _________ permission for my child/children to be photographed and recorded/filmed during Kids Church program/activities at Piedmont Park Seventh-day Adventist Church. I ___________ permission to Piedmont Park Seventh-day Adventist Church to use those photographs, videos, and other recordings such as livestream, to be used only for promotion purposes in other activities, social media platforms and website sponsored by the church. I trust that the church, staff and volunteers will use this content appropriately by keeping my children safety and well being.

give

do not give

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Would you and your family would be interested in getting Kids Church t-shirts?

Yes

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Comments or Questions

Thank you for joining us!

Please note that this form is only required to be filled out once. Next time, you will only need to provide your name for check-in purposes. See you soon!

Submit

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