BOOT CAMP Registration
JESUS – GUARDIAN OF THE GALAXY Boot Camp Registration Form. 1ST TO 5TH JULY

Please take your time to answer all the questions on this form.

Thank you!

Child's First and Last name: *
Your answer
School and year level: *
Your answer
If your child have any Allergies, Illnesses or Food Intolerances, please provide FULL details: *
Your answer
Permission to attend: *
I give permission for my child/children to attend Hope Community Church’s Holiday Program, “Jesus – Guardian of the Galaxy” from 1st July to 5th July 2019 (or any portion thereof):
Required
First Aid: *
Whilst I acknowledge that every precaution for the safety of my childn will be taken, in the event of an incident, I give my full consent for the leaders of this program to administer any First Aid to my child, as deemed necessary for the First Aid attendees. Should greater care be necessary an Ambulance will be called. I grant that Hope Community Church will not be liable for any damages or costs involved:
Required
Photographs: *
Do you give permission for your child to be photographed by the team at Hope Community Church? These photos will be used in the Photo Story that will be displayed throughout the week and at the break-up night on Friday the 5th.
Required
Promotional: *
Do you give permission for your child to be photographed for promotional purposes on our website and facebook page (no names will ever be used in any of our promotional material)?
Required
Ward of the state: *
Is your child a ward of the state?
Required
Disruption agreement: *
Finally, I agree that should my child be found to be extremely disruptive to the Guardian of the Galaxy program, I will be contacted and be required to collect the child asap:
Required
Parent/Guardian Name: *
Your answer
Parent/Guardian email: *
Your answer
Contact phone number *
Your answer
Alternate phone number
Your answer
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