Youth Group Craft & Games Night

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Cole Harbour Woodside United Church

15 Bissett Road, Cole Harbour, NS

Please RSVP before the end of day, Wednesday, March 26th so we can finalize things on our end.

Email *

Your Home Church *

Youth's Name *

Youth's Preferred Pronouns *

Parent or Emergency Contact Name
*

Parent's Home or Cell phone (best # to reach them during event) *

Youth's Email (if available)

Does your youth have any allergies or medical conditions we should be aware of? Do they need or carry an epi-pen? *

Please provide youth Health card number and expiry date *

Permissions:
*

I permit the staff and volunteers of Cole Harbour Woodside United Church to engage in on-site medical care as deemed necessary and to use their judgment in determining the extent of immediate medical care required for this youth including using the emergency service of a hospital.

I give permission for photographs of this youth to be taken at activities offered by/with Cole Harbour Woodside United Church

I DO NOT give permission for photographs of this youth to be taken at activities offered by/with Cole Harbour Woodside United Church.

As a youth participant, I will respect my peers' privacy and NOT post photos without permission on ANY social media channel.

Required

Is there anything else we should know about your youth to help them feel comfortable and have a great experience?

Does the youth prefer crafts or games? *

Crafts

Games

Thank you!

Thank you for filling out a form for each youth. If you have any questions or concerns, please reach out to CHWUC Youth Leader, Nathalie Poirier at lallie11@yahoo.com or text 902-223-8110.

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