Kids Connect Holiday Program 2018
Canterbury Gardens Community Church invites you to join us for our Kids Connect school holiday program!
Child's First Name
Child's Last Name (Family Name)
What days will you attend?
Two day program, Thursday 27th Sept and Friday 28th Sept
Only Thursday 27th Sept
Only Friday 28th Sept
Please give details of a contact available during the mornings of the Kids program, and may be contacted in case of a medical situation or emergency. Please note, emergency contacts must be over 18 years of age.
Emergency Contact Name
Relationship to child
Sibing (note: emergency contacts must be over 18)
Please list any dietary restrictions or medical considerations which are relevant to ensuring the safety and wellbeing of your child during this holiday program.
Any medication which may need to be administered during the time of the program (e.g. Asthma inhaler, EpiPen) will need to be delievered to the first aid officer in charge, and signed in upon arrival at the program. Any such medication will be administered by the first aid officer in charge, if required.
Other Medical needs/considerations
Yes, I give permission for photographs and/or video footage to be taken of my child
No, I do not give permission for photographs and/or video footage to be taken of my child
At CGCC, we would love to stay in touch with you and let you know of future church events which might be of interest to your family. If you would like to be added to our mailing database then please fill out your details below
Our family includes...
Children aged between 0-5 years old
Children at primary school (5 - 12 years old)
Children at secondary school (13 - 18 years old)
Young adults (18 - 30 years old)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service