Life Changing Ministries GA- Birthday Bash
12pm-2pm | Please fill out this form to register for the Monthly Birthday Bash every 4th Saturday.
We look forward to seeing you there!
Name (Parent/Guardian) { Nombre del Padre de Familia / Guardian}
*
Email
*
This address will receive a confirmation email
Phone {Número de teléfono}
*
Address {Dirección} (Include Subdivision Name in line 2)
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Room Number
Number of children attending (Numeros de niños}
*
Please select one option.
1
2
3
4
5+
Do you have child(ren) celebrating a birthday this month? {Tienes un niño y una niña celebrando unos cumpleaños?}
*
Please select one option.
Yes
No
Names, ages and sex of birthday child(ren) {Nombres, edades y sexo del(los) niño(s) que cumple años}
Names and Ages of other child(ren) attending who are not celebrating a birthday. {Nombres y edades de otros niños que no están celebrando cumpleaños}
*
Will you be needing transportation? {Necesitan transportación?}
*
Please select one option.
Yes, I will need to be picked up.
No, I will transport my child(ren)
Submit
Description
12pm-2pm
Please fill out this form to register for the Monthly Birthday Bash every 4th Saturday.
We look forward to seeing you there!
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