Parent/Guardian Name *

First Name

Last Name

Phone Number *

(###)

###

####

Child #1 *

Must be between 5 years old and 4th grade.

First Name

Last Name

Child #2

Must be between 5 years old and 4th grade.

First Name

Last Name

Child #3

Must be between 5 years old and 4th grade.

First Name

Last Name

Child #4

Must be between 5 years old and 4th grade.

First Name

Last Name

BEFORE YOU SUBMIT! Please note: at least one parent/guardian will be required to attend the movie with their child(ren) unless prior arrangements have been made with the Student Ministries team. Only the tickets for children ages 5-4th grade are free and any additional persons (including the parent/guardian) attending will need to purchase their ticket through the church. Refreshments will be the responsibility of the parent/guardian. Clicking the "payment" button below will take you to the next page to purchase tickets. *

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I do not understand.