Name of Church Group:

Group Leader:

Contact Phone Number:

Contact Email:

Names of Attendees (ages 12 and under)       Gender      Age

If more than 20 children ages 12 and under,
fill out and send another form.

How did you hear about Kidfest 2013?
(check all that apply)
Facebook/Twitter    Church Website
Newspaper/Radio Ad    Invite Card/Flyer by Mail
Friend    Carmike Theater Promo
Billboard/Road Sign    Daycare/School
Other: (please specify below)