Participant Information

How many children would you like to register? *

Participant 1

Full Name *

Birth Date (must be 3 or older) * +

Grade (fall 2022) *

Preference (used for planning purposes only). *

Sunday 9:00am

Wednesday 6:00pm

Participant 2

Full Name *

Birth Date (must be 3 or older) * +

Grade (fall 2022 ) *

Preference (used for planning purposes only). *

Sunday 9:00am

Wednesday 6:00pm

Participant 3

Full Name *

Birth Date (must be 3 or older) * +

Grade (fall 2022) *

Preference (used for planning purposes only). *

Sunday 9:00am

Wednesday 6:00pm

Participant 4

Full Name *

Birth Date (must be 3 or older) * +

Grade (fall 2022 ) *

Preference (used for planning purposes only). *

Sunday 9:00am

Wednesday 6:00pm

Participant 5

Full Name *

Birth Date (must be 3 or older) * +

Grade (fall 2022) *

Preference (used for planning purposes only). *

Sunday 9:00am

Wednesday 6:00pm

Household / Adult Primary Contact

Relationship to Participants: *

Parent

Guardian

Other Other

Yes, I will help with Cross Kids!

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Email Address *

In order to have an incredible year, would you be willing to be a room leader for CrossKids? *

Yes

No

I / We give permission for Holy Cross Lutheran Church to publish photos / videos of my child. *

By checking here I agree.