Christ First United Church

*Denotes Required Field * Title

* First Child - Full Name

* First Child - Birthdate

* First Child - Allergies/Health Concerns

* Add another child

Second Child - Full Name

Second Child - Birthdate

Second Child - Allergies/Health Concerns

Add another child

Third Child - Full Name

Third Child - Birthdate

Third Child - Allergies/Health Concerns

Add another child

Fourth Child - Full Name

Fourth Child - Birthdate

Fourth Child - Allergies/Health Concerns

* Legal Guardian (name, relationship to camper)

* Phone Number ( ) -

* Email

* Emergency Contact (name, relationship to camper, phone number)

* I give permission for my child's photograph to be taken and used for in-church purposes (including shared to the church's social media accounts). In such cases, names will never be listed.

* In the event of illness or accident, I give permission for first aid to be administered where considered necessary. I understand that every effort will be made to contact me as soon as possible.

* I, as legal guardian, give permission for my child to participate in Christ First's P.A. Play Day. I understand that there are potential risks in this event and do not hold Christ First or it leaders/volunteers responsible or liable for any accidents.

* I give permission for my child to be taken off Christ First property for activities and programming including, but not limited to, the local park and playground.

Please click on the check box below that corresponds with the number of children you are registering before moving on to the payment page.

I am registering one child

I am registering two children

I am registering three children

I am registering four children

You can choose to pay with Visa or MasterCard on the next page, or you can contact the office for other payment options.

Total Amount

The total cost is: $0

After submitting this form, you will be redirected to the payment page to provide your credit card information.

Christ First Church

PA Play Day