Fall fest
REGISTRATION

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

Zip Code

Total number in your party

Names of all children with you at today's event:

How did you hear about Fall Fest?

Check multiple boxes if you'd like.

School Flyer

Social Media Ad

Personal Invite

Church Service

Other (Specify Below)

Other:

In consideration of the services of Gospel Lighthouse Church, INC., their agents, officers, board of directors, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as The Lighthouse Church, INC.), I hereby agree to release, indemnify, and discharge on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representatives, and estates as follows: I acknowledge that playing in the bounce houses, riding the barrel train, participating in mechanical rides, and/or playing any of the available games and activities for the event entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to me, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

Signature/Name Required Below

Fall festREGISTRATION

Fall fest
REGISTRATION