• Parent’s Full Name
• Phone Number
• Email Address
• Child(ren)’s Name(s) & Age(s)
Name: Age:
Name: Age:
Name: Age:
Name: Age:
Name: Age:
Name: Age:
• Church/Organization (optional)
• How did you hear about the event?
• Select Ticket Type:
☐ Family Admission
☐ Parent Only
☐ Child Only
• Payment Method (Cash App, Zelle, PayPal, etc.)
• Consent to be photographed/videoed
• Emergency Contact
• Signature
Parent: $25
Child: $15
Add-on: $10 for each additional child
📍 Location coming soon
📅 Event Date: Date January 17 2026
💵 Cash App: $Marynoble25
📧 Zelle: marybnoble@mail.com
Register Here: