This is for all 4th, 5th and 6th graders and their families!
Family Name
*
Number of Family Members Attending
*
Please Select
1
2
3
4
5
6
7
Phone Number
*
-
Area Code
Phone Number
E-mail
*
The van will leave the church parking lot at 7 pm. If your child will be attending without a parent, we will need a signed consent form. (See link below to download form or we will have them available Sunday night.)
<a href="http://www.westark.org/wp-content/uploads/2012/03/Kk_Consent_Form_-_B56_movie_night_5.11.pdf" target="_blank" rel="nofollow">Consent Form</a>
Checklist
*
We will bring our own drinks.
We will bring our own snacks.
We will have a signed consent form if necessary. =]
Submit Form
Should be Empty: