SUMMERSHINE REGISTRATION FORM
Oxford Baptist Church
If you are registering more than one child, please make sure to list each child separately in the space provided below.
Child's Full Name *
Child's Age and Date of Birth *
School and last grade completed *
2nd Child's Full Name
Child's Age and Date of Birth
School and last grade completed
3rd Child's Full Name
Child's Age and Date of Birth
School and last grade completed
Relevant information we should know about your child/children: Health problems, dietary requirements, allergies (sunscreen, facepaint, etc...), behavioral difficulties *
Name of parent/s with parental responsibilities *
Parent/Guardian Email Address
Address *
Emergency Contact Number/s *
Who will usually pick up your child from the group? (If for any reason this needs to change, please inform a leader of the group as to whom it will be.) *
Do you give consent to your child participating in the following activities? Check all that apply. *
Required
Photos will be taken during the week's events to showcase to parents, family and friends. These will be used for the sole purpose for the Family Fun Night Slideshow and for promoting next year's event in local schools and on social media. *
Parent's Initials: *
Today's Date: *
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Any other information you would like for us to know about your child?
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