A Walk Through Jerusalem - 2026

Register me for A Walk Through Jerusalem at Landmark Church on Sat, April 4th between 11am and 2pm!
This is a Free Event for children ages 2 to 12!
Please fill separate forms if registering multiple children.

Child's Name

Birth Date

Age (Please select one option) Ages 2-4 Ages 5-7 Ages 8-12

Parent/Guardian Name

Cell Phone

Address

Medical or other information we need to know

Allergies. Please include food allergies

Emergency Contact Information (if different than above)

Name

Cell Phone

Relationship to the Child

Parent or Legal Guardian Consent
By my submitting this form, I indicate the following:
            I am the parent or legal guardian of this child.
UNLESS OTHERWISE NOTED, I give permission for my child to participate in all activities at Landmark Church’s A Walk Through Jerusalem, April 4, 2026.
            I authorize Landmark Church to get medical attention for my child in the event of an emergency.
            I give permission for my child to be photographed or videoed during any of the event's activities, and I allow pictures and/or videos to be used in any Landmark Church publications, advertisements,or social media.

Description

Please fill out this form and click submit.
For questions or further details, please contact Clara Podhany:
clarapodhany@gmail.com
(919) 737-5441

A Walk Through Jerusalem - 2026

Description

Please Fix the Following