Register for Christmas for Kids
Parent Name*
Address*
City, State, Zip*
Phone*
Child Name/Grade (Age if not in school)*
Child Name/Grade (Age if not in school)
Child Name/Grade (Age if not in school)
Does your child have any allergies?*
Emergency Phone
How did you hear about Christmas for Kids at Immanuel? Please mark all that apply. *
 Facebook
 Attended in Past
 From a friend, acquaintance, etc.
 From a member of Immanuel
 Newspaper Ad
 Immanuel's Website
 Invitation by Mail
 Banner by the road
 Other
Church Affiliation
Email for Confirmation *


Submit

"Let the Word of Christ dwell in your richly." ~ Colossians 3:16