Treasure House Registration 2018
Please fill in the particulars of your child on the form below.
Email address *
Which COM site do you attend? *
Required
Child's first name *
Your answer
Surname *
Your answer
Age (as of 1st Jan 2018) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age Group / Grade (in 2018) *
Allergies *
Your answer
Parent/Guardian #1 *
Your answer
Parent/Guardian #2
Your answer
Contact number
Your answer
I, as the parent/guardian of the aforementioned child, hereby indemnify the leaders and staff of Church-on-Main and the teachers at Treasure House, from any claims arising out of the loss, damage or injury my child may sustain during the Treasure House time. *
Submit
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