Woodbine Kids Club
July 22, 2019 1:00 PM - July 25, 2019 3:30 PM
96 out of 100 remaining tickets available
Type
Price
Quantity
Camp of the Week Special!
48 Remaining
Price
$20.00
Quantity
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Camp of the Week Special!
0
Child First Name
*
Child Last Name
*
Preferred Name
T-Shirt Size (indicate youth size with "y" before S, M, or L):
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Email Address
*
Phone Number
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Home Address
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City
*
Province
*
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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Alberta Health Number:
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Food Allergies:
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Emergency Contact #1 (Name, Phone, Relation to Child):
*
Emergency Contact #2 (Name, Phone, Relation to Child):
*
I am willing to sign a release form at registration recognizing that Multiply Church is not liable for any injuries that may occur during the camp.
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Yes
No