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Kingdom Quest Registration form
You will need armour.... You will need a catapult... You will need training.. because we are about to enter.. INTO THE KINGDOM!
Child's Full Name *
Your answer
Date of Birth: *
MM
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DD
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YYYY
Grade Attending *
Your answer
Email Address *
Your answer
Male or Female
Street address:
Your answer
Postal Code:
Your answer
Mother's name
Your answer
Mother's Cell Phone #
Your answer
Mother's Work #
Your answer
Father's Name
Your answer
Father's Cell Phone #
Your answer
Father's Work #
Your answer
In case of emergency, contact : (Parents will be contacted first)
Your answer
Relationship to Child: (In case of emergency)
Your answer
Telephone: (In case of emergency)
Your answer
Medical Information: AHC# *
Your answer
Family Doctor Name
Your answer
Family Doctor Telephone #
Your answer
Known Allergies
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Medical Conditions: *
Your answer
Other Special Considerations: Please Note: We try to make sure snacks are nut safe. 
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Name of special friend your child may like to be with: *
Your answer
I give permission to the Staff at St Stephen to provide first aid to my child if necessary. Likewise, in the situation that my child should require immediate medical care due to an injury I give them permission to transport my child to the Alberta Children's Hospital. Sign your name and your child's name below.
Your answer
St. Stephen Protomartyr Ukrainian Catholic Church program waiver. I absolve St. Stephen Protomartyr Ukrainian Catholic Church of any liabilities that have occurred to me or my children while they are attending and participating in the program.  Type name below.
Your answer
Media Release Authorization. Please note that we will not use the names of any children or youth, or any other personal information in our bulletins, website nor advertising. Any photos or videos for which we have your permission will be used in a positive and respectful way. I, the parent or legal guardian of the child participant of the program, give authorization to the Parish of St. Stephan Protomartyr to use his/her photographs and/or video for the parish bulletin, church website and/or for promotional use. *
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