Night Games

1/28/2011| $7 | NOTE: All events require payment for Sign Up to be complete.

Today's Date

Student Name *

(First & Last)

Grade *

Parent Name *

Parent Email *

Parent Contact Phone *

# to call during event

I allow my student to attend this event with First Baptist Church of Lakewood. I understand that transportation will be by church bus and or leader/staff vehicles. In an emergency I authorize medical treatment for my student. I authorize use of photographs and video recording of my student at the churches discretion.

I accept

Notes

Student Email