"GameChanger" Summer Blast

July 17-21 Mon-Fri 1:30pm-4:30pm Suggested Arrival Time: 1:15pm | Summer Blast is FREE for participants!

Participant Information

Child's Name (First & Last)

*

Grade Entering in Fall 2023

*

Please select one option.

1st 2nd 3rd 4th 5th

Gender

*

Please select one option.

Female Male

Please list any food allergies:

Please specify is there is a friend or sibling you need to be grouped with. Siblings often enjoy their own unique adventures at Summer Blast, but we understand this is not always the case.

Other special needs and/or accommodations you want our Lifestone Kids Team to be aware of:

Parent/Guardian Information

First & Last Name

*

Email

*

This address will receive a confirmation email

Phone

*

Tell us how you heard about the event!

*

Please select one option.

Facebook/ Instagram Friend Signs/ Banners Lifestone Church Announcements/ Communication

Release of Liability

I release Lifestone Church and Summer Blast from liability and give permission for the above mentioned child to receive medical attention from trained medical staff in the event of an emergency.

*

Please select all that apply.

I agree.

Description

July 17-21 Mon-Fri 1:30pm-4:30pm Suggested Arrival Time: 1:15pm

Summer Blast is FREE for participants!

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