Connect @ GA Participant Registration

Drop Off and Pick Up Each Day - Children must be dropped off AND picked up each day at the designated location by an adult. Children will not be released to walk through the hotel unattended. Jodi Rush, coordinator of Connect @ GA will tell you the drop off/pick up location closer to General Assembly week.

Select One*

Child Participant (Completed K and at least 6 years old - 6th grade)
Child Participant 5 years old (must have parent accompany them)
Parent of 5 year old
Volunteer

Name*

First Last

Name Tag - Unless noted here, the name above will be printed on the event name tag. If no changes are needed, please leave this blank.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email - Parent/Guardian/Volunteer*

Enter Email Confirm Email

Church*

Presbytery

Dietary Restriction - For child or adult attending the event.

Allergies and/or Medical Conditions or Concerns - For child or adult attending the event.

Parent/Guardian Consent*

YES
NO

A - I confirm to the best of my knowledge that my child does not suffer from any medical condition other than what is listed on this form. B - I consent for my child to receive minor medical care during any of the events. C - I understand that Connect @ GA, CPC, MC, MMT, DMT, or other volunteering congregations accept no responsibility for injury during attendance of the event.

Child Participate Only - Birthdate

Child Participate Only - Age at the time of the event

Child Participate Only - Grade completed at the time of the event.

Adult Contact and Cell Phone Number - This needs to be an adult that is in attendance at General Assembly. Please list name and cell phone. If there is more than one please list.*

Staying On-site or Off-site*

GA Hotel
Off-Site

Staying on-site at the General Assembly hotel or Off-site at another location.

Photo/Video/Social Media Consent*

I DO
I DO NOT

give permission for my child/myself to be photographed and or recorded during Children's Fest and for the use of the images by the Cumberland Presbyterian Church in its publications and online use including CP Websites and Social Media.

Fees and Payment - You have the option to pay online when you complete this registration. Or you may pay Jodi Rush at General Assembly by check made out to DMT or with exact cash payment. **Please note that after June 9th no refunds can be given. If you signed up for 1 - 3 of the activity days, you will be expected to pay in full even if your child does not participate. This is due to reservations being made and supplies purchased ahead of time. Thank you for your understanding and cooperation.

Monday - Please enter quantity of 1 if registering for Monday

Price: $25.00

9 am - 2 pm. Frank Buck Zoo in Gainesville, Texas. Transportation, lunch, snack and drinks are provided. Any child under the age of 6 must have a parent accompany them. The child under six and parent must register to attend.

Tuesday - Please enter quantity of 1 if registering for Tuesday

Price: $25.00

9 am - 2 pm. Playtime at North Lakes Park and a couple hours at Denton Water Works Park. Lunch and Snacks provided. Any child under the age of 6 must have a parent accompany them. The child under six and parent must register to attend.

Tuesday Sandwich Choice*

Peanut Butter and Jelly
Ham
Turkey
Not participating on Tuesday

Wednesday - Please enter quantity of 1 if registering for Wednesday

Price: $25.00

9 am - 2 pm. T-Shirt making at GA Hotel, Scavenger Hunt Off-Site, Lunch at Denton CPC Pavilion, Special Snack on the Square in Denton. Lunch and Snacks provided. Any child under the age of 6 must have a parent accompany them. The child under six and parent must register to attend.

Wednesday Participants Only - T-Shirt Size needed for all child participants and volunteers.

Total

$0.00

All payments for the event will need to be made at the event. We are very sorry for the inconvenience!

Name

This field is for validation purposes and should be left unchanged.

2023 Connect @ GA

All payments for the event will need to be made at the event. We are very sorry for the inconvenience!