Shawnessy Kids Club #1
July 22, 2019 1:00 PM - July 25, 2019 3:30 PM
95 out of 100 remaining tickets available
Type
Price
Quantity
Gen Adm
50 Remaining
Price
$40.00
Quantity
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Gen Adm
0
Child First Name
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Child Last Name
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Preferred Name
T-Shirt Size (indicate youth size with "y" before S, M, or L):
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Email Address
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Phone Number
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Home Address
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City
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Province
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Postal Code
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Church (if you attend one regularly)
Name(s) of Parent(s)/Guardian(s) with whom child lives:
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Food Allergies:
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Emergency Contact #1 (Name, Phone, Relation to Child):
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Emergency Contact #2 (Name, Phone, Relation to Child):
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I give permission for my child to participate in a Multiply Church Summer Camp. I understand that this program is run by Multiply Church, and that the program is conducted by the church and its volunteers and staff. I am aware that my child is participating voluntarily and is doing so at his/her own risk and Multiply Church, its members, agents, or volunteers, are not liable for any loss, damage, death, injury, or ambulance service resulting from or in connection with such participation.
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Yes
No