SummerFest Registration Form
* Required
Email address
*
Your email
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
*
Vegetarian
Vegan
Kosher
Halal
Gluten-free
None
Other:
Medical Conditions Relevant to Child
*
Your answer
Can Photos/Videos of your child be taken?
*
Yes
No
Can Photos/Videos of your child be used for church purposes?
*
Yes
No
I hereby confirm all details above are correct
*
Yes
Required
Form filled in by
*
Your answer
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