Super Mario Holiday Club – Sign Up 3rd -7th July 2023 Child 1 Name, Grade, Allergies/Illnesses:(required) Child 2 Name, Grade, Allergies/Illnesses:(required) Child 3 Name, Grade, Allergies/Illnesses:(required) Child 4 Name, Grade, Allergies/Illnesses:(required) Do you give permission for your child/ren to attend "superhero” boot camp at Hope Community Church, 86 Windsor Road, Burnside from 9.15am to 12 noon from Monday the 9th January to the 13th January 2023.(required) Yes No Do you give permission for you children to be photographed for display purposes only during the program? (required) Yes No Do you give permission for photography and/or videography of my child/children to be included for promotional purposes on our website (www.hopecommunitychurch.org.au) and our YouTube Channel? Children’s names will not be displayed. (required) Yes No Is your child/children a ward/wards of the state? (required) Yes No Do you acknowledge that should your child/ren be found to be extremely disruptive, you will be phoned on the below contact details and required to collect the child/ren. (required) Yes No By completing this form, you acknowledge that you are providing personal information of your family to Hope Community Church to be used solely for the duration of the program and will not be viewed by any third party. Should you wish to access this information at any time I can contact the following people: Allison: 0407746663 Pastor Phil: 0430811967 Parent/Guardian Name/s:(required) Address:(required) Contact Number:(required) Emergency Contact Number:(required) Emergency Contact Number:(required) Send Δ Share this:TwitterFacebookLike this:Like Loading...
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