Special Needs Egg Hunt 2019

We are so happy that you will be joining us on April 13 for this wonderful event. Please fill out the entire form below and select a timeslot that you will be bringing the individual under your care. If you have any questions, please contact the church office at 570-433-3002 or email Tara Michaels at specialneedsministrycbc@gmail.com . Have a wonderful day!

First Name (Participant)
Last Name (Participant)
First Name (Caregiver in attendance)
Last Name (Caregiver in attendance)
Postal Code
Email Address
Allergy Alert: We will be using latex balloons indoors for guests with wheelchairs/walkers.
Wheelchair/Walker? (pick one)
Age of Participant
Registration Info: Guests 12 and under from 1:00-2:30 (Registration will begin at 12:45). Guests age 13 and up from 3:00-4:30 (Registration begins at 2:45).
Note: Please email Tara at specialneedsministrycbc@gmail.com if you would NOT like your photo taken.

Are Required Fields