The Crown Experience - Registration

The Crown Experience - Registration
Child’s Name*

First NameLast Name
Child’s Date of Birth*

MonthDayYear
Date
Parent/Guardian Name (1)*

First NameLast Name
Parent/Guardian Name (2)

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.
Additional Emergency Contact*

First NameLast Name
Additional Emergency Contact Phone Number*
Please enter a valid phone number.
Child’s Allergies or Dietary Restrictions *
Does your child have any special needs or accommodations? *
Child’s Shirt Size*

Youth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult MediumAdult LargeAdult Extra Large
I give permission for photos and video of my child to be taken and used for promotional purposes by “The Crown Event” staff and volunteers.*

YesNo
I acknowledge that Antanya Hardy, Bethel Church, & “The Crown Experience” organizers and volunteers are not responsible for any accidents, injuries, or lost items. I understand this is a drop-off event and my child will be supervised by event staff and volunteers.*

I agree
I understand that all registration fees are final and non-refundable.*

I agree

My Products*

Registration Fee

$20.00 Quantity

Total

$0.00

Credit Card

ACH Bank Transfer