Kids Morning Out: Weird Animals Registration
Stevens Road Baptist Church | 2 Stevens Rd., Dartmouth | srubcfamily@gmail.com | 902-435-1456
Important Information
Kids will Understand that Jesus' love is one-of-a-kind

Music | Games | Bible Stories | Crafts | Snacks

Please register each child individually.

Pre-School (3-5yr olds), August 12 - 15, 9am - 12pm
(3 yrs olds need to be turning 4 by the end of December and toilet trained)

You are invited to our Celebration Sunday, Aug 18th, 10am - 12pm.
Your child will be invited on stage to help share what they've learned at KMO. After church we will have a BBQ and fun activities for the kids and it's a chance to say by to our summer staff team (it's their last Sunday with us).

Cost: Free
Where: Stevens Road Baptist Church, 2 Stevens Rd., Dartmouth
Contact us at (902) 435-1456 or pastorerin@stevensroadbaptist.ca

Child's Information
Child's First Name *
Your answer
Child's Last Name *
Your answer
How old is your child? *
Please select what Grade child is entering in September 2018
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Information
First Name *
Your answer
Last Name *
Your answer
Address *
Street, City, Postal Code
Your answer
E-Mail *
Your answer
Phone Number *
Your answer
Cell phone Number *
Your answer
Emergency Contact Information *
Full Name, relation to child, and phone number
Your answer
Who will be picking up your child? *
If other then parent/guardian listed above, please provide full name and relation to child or bring a note for crew leader during week of camp.
Your answer
Do you have a Home Church? *
Required
If yes, where is your home church? *
Your answer
Photos and video's will be taken throughout the week of KMO. I hereby state that I grant permission for pictures and/or video of my son/daughter to be used in promotional material for Stevens Road Baptist Church use in promotional material and updates. *
How did you hear about KMO: Weird Animals? *
I understand that upon bringing my child to KMO the person dropping off and picking up my child will sign him or her in and out each day. *
This is to ensure the safety of the child and also for us to get to know parents and/or guardians of the children. Children will start of in the gym. Please use the "Office" door closest to Tacoma Rd for drop off and door closest to Stevens Rd for pick up.
The above registration form was read and completed by: *
Parent/Guardian Name
Your answer
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