Grace Evangelical Lutheran Church
Wednesday, December 13, 2017

Christmas 4 Kids at Grace-Tucson
Registration Form

Saturday, December 16, 2017, 9:30am - 12:30pm
830 N 1st Ave, Tucson, AZ 85719
Please fill out as completely as possible


Child's name:
Child's age:
Child's grade:
Parent's name(s):
Home Address:
Zip code:
Phone Number:
Email Address:
Child will be picked up by:
Church Home:
Food allergies/ other information:
Emergency contact name:
Emergency contact address:
Emergency contact phone:

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