This year, in order to accommodate more families, we are limiting the number of adults attending the program to no more than 2 per family.

Parent/Guardian's Full Name (required)

Email Address (required)

Telephone Number (required)

Street Address (required)

Your City (required)

Your State (required)

Your Zip Code (required)

Attending Adult #2 Full Name

Child 1 First & Last Name, Gender, Age (required)

Child 2 First & Last Name, Gender, Age

Child 3 First & Last Name, Gender, Age

Child 4 First & Last Name, Gender, Age

Child 5 First & Last Name, Gender, Age

Child 6 First & Last Name, Gender, Age

Child 7 First & Last Name, Gender, Age

Child 8 First & Last Name, Gender, Age

Child 9 First & Last Name, Gender, Age

Child 10 First & Last Name, Gender, Age

If you have more children please list below: First & Last Name, Gender, Age

If you are in need of prayer for anything, we would love to pray for you. Please let us know in the box below.

A confirmation email will be sent within 3 days of registration submission. If you have any questions, please email ChristmasAtBethel@comcast.net or call (717) 385-3912.