EGGSTRAVAGANZA 2022 REGISTRATION FORM

Please complete this registration form that enters you and your child for the free giveaways at the Easter Eggstravaganza. Visit our website at www.eastwoodtulsa.org for information about this event and our church. Please note: Our doors will open at 9:30 am on April 16, 2022. Please arrive early so your child receives their wristband for their age group egg hunt. Questions? E-mail eastwood@eastwoodtulsa.com or call the church office at 918-836-8686.

First and Last Name

This address will receive a confirmation email

Mobile Phone

I would like to receive text messages from Eastwood Tulsa

Yes, I Agree No, I Do Not Agree

Child Information

Complete information for FIRST child.

Child First and Last Name

Child's Age

Child's Grade

#2 Child Information

Complete information for SECOND child or skip to SIGNATURE.

(2) Child First & Last Name

(2) Child's Age

(2) Child's Grade

#3 Child Information

Complete information for THIRD child or skip to SIGNATURE.

(3) Child First & Last Name

(3) Child's Age

(3) Child's Grade

#4 Child Information

Complete information for FOUTH child or skip to SIGNATURE.

(4) Child First & Last Name

(4) Child's Age

(4) Child's Grade

Signature/Consent

By this instrument, I do herby release, acquit, hold harmless and forever discharge EASTWOOD BAPTIST CHURCH, its agents, servants, and employees, and all persons natural or corporate, in privity with them or any of them, from any and all claims or causes of action of any kind whatsoever, including but not limited to actions, suits and/or claims for any bodily injuries, death or property damage which may be sustained by my child while participating in any activity, or activities, including travel to and from such activities and any negligence or lack of care due or claimed to be due to the conduct of any agent, servant, or employee of EASTWOOD BAPTIST CHURCH. By signing this agreement, I give my permission for my child to receive medical attention in the event of any emergency.

I hereby authorize and grant permission for Eastwood Tulsa to use any photos, film, digital imaging, videos, verbal and written statements of the above stated participant or their likeness for promotional, or other uses by Eastwood Tulsa either associated with the project, event, program, or otherwise. I acknowledge that I will not receive compensation for the use of such materials, and I hereby waive any and all claim to any such compensation.

I Agree

Yes No

Signature

Signature Date

Comments/Questions

EGGSTRAVAGANZA 2022 REGISTRATION FORM

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