*Attendee's Marital Status:
*Will there be another family member attending with you?:
Addt'l Family Member Gender:
Childcare reservations are required for all weekly FPU. Central Kids programming is provided free of charge for children who are six weeks old through 5th Grade.
*Do you need childcare for the weekly classes?:
Do you agree to allow Central Christian Church to use photos, videos or statements of your child in church-created publications, media releases, information displays, websites, social media and/or other electronic media.
No personal address, phone number or email address will be included. Please answer Yes or No for each child that will be in our care during this event.:
Child #1 Grade (if applicable):
Child #1 Photo/Media Release:
Child #2 Grade (if applicable):
Child #2 Photo/Media Release:
Child #3 Grade (if applicable):
Child #3 Photo/Media Release:
Child #4 Grade (if applicable):
Child #4 Photo/Media Release: