Block Party 2025 — High School Registration

First Name

Last Name

Grade

9th 10th 11th 12th

Date of Birth

Parent First Name

Parent Last Name

Parent Email

Parent Phone

Emergency Contact

Allergies / Medical Notes

I give permission for my child to attend Block Party 2026. I understand photos may be taken during the event and may be used by Family Church.

I understand that some of the associated risks include, but are not limited to sunburn, dehydration, insect bites, sports related injuries, and potentially more serious injuries or drowning resulting from participation in various watersport activities.

My student has permission to be released to the guardian who dropped them off at the end of the session.

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