Lakewood Baptist Church
1705 Esters Rd., Irving, Tx
June 5 – 8
6:00pm – 8:30pm
FREE FOOD, FUN, GAMES AND PRIZES!

You can register at the door or fill out the form below.

Parent's Name (required)

Parent's Email (required)

Phone

Address

City

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Children

Child's Name

Age:

Child's Name

Age:

Child's Name

Age:

Child's Name

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Questions

Let us know if you have any questions or concerns. Also, please list any Medical Information that your child has.