KA Children's Arts Workshop
Email address *
1. Child's Name *
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2. Child's Date of Birth *
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3. Age *
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4. Address *
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5. Gender *
6. Parent/Guardian's Name *
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7. Relationship to Child *
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8. Emergency Contact Telephone Number *
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9. Please List Any Allergies *
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10. Please List Any Medical Conditions *
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11.What is your Church Affiliation?
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12. Are you happy for us to keep your details for future events?
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