Truth Troopers Kids Night Online Registration
Please fill in the form completely for EACH registering child
Email address *
Child's Name *
Your answer
Child's Grade for 2017-18 school year *
Your answer
Child's Birthdate (inc. year) *
Your answer
Parent Name(s), Phone Number(s) (cell and home) and Email(s) *
Your answer
Emergency Contact Name and Phone Number (please choose someone other than the registered parent- we will contact parents FIRST in the case of an emergency) *
Your answer
Child Allergies and/or medical conditions *
Your answer
Child's BC Medical Card # *
Your answer
Do you allow pictures and/or video of your child, taken during the Truth Troopers Kids Nights and events, to be used for Truth Troopers promotional purposes on the Truth Troopers Facebook page and/or New Life Community Fellowship website? *
A copy of your responses will be emailed to the address you provided.
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