Kings and Queens Ball Guest Registration

  • (Please list any that apply: foods, animals, latex, makeup, plants or pollen, etc.)
    * Please note that the church, their staff and volunteers are not responsible for administering medication to guests during the Kings and Queens Ball event. If medication is required during the event, a parent or caretaker MUST be available to administer the medication.
  • Parent/Caretaker Information

  • * The Respite Room is a private area where parents/caretakers of guests can spend the evening enjoying food, entertainment and rest while remaining onsite during the event.
  • Care Provider Agency Information – If Applicable

  • (If attending as a part of a group, please include agency or company name)
  • (Note: Chaperone is not required to stay with guest(s) unless required by Care Provider Agency)