Parent/Guardian Details
Parent/Guardian #1: Full Name
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Mobile Number
*
Email Address
*
Home Address
Child Details
First Name
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Last Name
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Date of Birth
*
Permissions
Does your child have any allergies? If yes, please provide details of allergies in the next box.
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No known allergies
Yes (has allergies)
Allergies
Can we take photos and/or video of your child? We love showing people what happens at our church so these images can be used in our communications (including online) in promotion of our church and its' activities.
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Yes
No
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