EC Kids Registration

We are excited to announce that
EC Kids will resume on October 18th during our Drive In & Open Air service for kids ages 5-12!

All kids must be registered in order to participate and please bring a lawn or beach chair for your child.

EC Kids Registration

* Indicates required field

Parents Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone *

Additional Phone Number *

Email *

Emergency Contact Name *

Emergency Contact Number *

Child Name *

First

Last

Age *

Allergies (if none please put N/A) *

Child #2 *

Age *

Allergies (If none please put N/A) *

Child #3 *

Age *

Allergies (If none please put N/A) *

Child #4 *

Age *

Allergies (If none please put N/A) *

Submit