56ers March 15th 2024

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Hope Valley Church believes community and connection is a great way to grow children in relational, emotional and spiritual maturity. 56er's is for upper primary students providing them with their own space to connect and grow during important transitional years. $5 per child

Email *

Child's Name *

Date of birth *

YYYY

Gender *

Female

Male

Year level *

Year 5

Year 6

Required

Emergency contact name *

Emergency contact number *

Any dietary needs? *

Yes

Please specify dietary needs

Any medical conditions/allergies? *

Yes

Please specify medical conditions/allergies

I will accept that volunteers and staff connected with Church programs will take every care, and cannot be held accountable for personal injury, loss or theft of property affecting my/our child(ren).

Permission: I understand that if my child(ren) needs medical attention, I/we will be contacted immediately to take whatever steps are necessary for my/our child(ren).

Yes

Required

I/we are happy for photographic images and video of my/our child(ren) to be used for promotional purposes of Hope Valley Church. *

Yes

Agreement: Please note that if my child's behaviour becomes inappropriate or unmanageable during this event, parents will be contacted for their collection. *

Agree

Required

A copy of your responses will be emailed to the address you provided.

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