Mega Kids Club Rego Form
Email address *
Parent/Guardian Full Name *
Your answer
Phone Number *
Your answer
Emergency Contact Person: *
Your answer
Emergency Contact Number: *
Your answer
How will your child(ren) be arriving? *
How many sausage sandwiches is your family likely to eat? *
$1 each, just an idea for catering purposes - not a commitment.
Child 1:
Name: *
Your answer
School *
Your answer
School Year: *
Any Special Dietary Requirements, Health Issues or Major Behavioural Needs
Your answer
Child 2:
Name:
Your answer
School
Your answer
School Year:
Any Special Dietary Requirements, Health Issues or Major Behavioural Needs
Your answer
Child 3:
Name:
Your answer
School
Your answer
School Year:
Any Special Dietary Requirements, Health Issues or Major Behavioural Needs
Your answer
Final Comment / Permission
Any other Comment / Note:
Your answer
Permission *
Required
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Parish of Picton & Wilton Anglican.