SummerFest Registration Form
Email address *
Child's Full Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Name of Child's Parent/Guardian *
Your answer
Home Phone Number of Parent/Guardian *
Your answer
Mobile Number of Parent/Guardian
Your answer
Second Contacts Name *
Your answer
Second Contacts Relationship to Child *
Your answer
Second Contacts Phone Number *
Your answer
Dietary Requirements *
Medical Conditions Relevant to Child *
Your answer
Can Photos/Videos of your child be taken? *
Can Photos/Videos of your child be used for church purposes? *
I hereby confirm all details above are correct *
Required
Form filled in by *
Your answer
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