Kid Crew 2021-2022 Registration

Kid Crew Registration (2022 - 2023)

For kids in JK - Grade 5 ~ Wednesdays 6:45 - 8:15 PM (Starts Sept. 28)
Childs Information *
Child's Special Needs / Allergies
Please indicate child's name if more than 1 registrant
Address *

Street Address

Street Address Line 2

City Province

Postal Code
Parent/Guardian Name(s) *

First Name Last Name
Email *
example@example.com
Home Phone # *

Area Code Phone Number
Cell Phone #

Area Code Phone Number
Authorization and Consent
Photo's of your child may be taken during the program and used on our social media/website page or for our future brochures

I DO NOT WANT MY CHILD’S PICTURE USED FOR FACEBOOK/WEBSITE OR ANY FORM OF ADVERTISING
Signature of Parent/Guardian *

Clear
Payment per child: $50
Choose a Payment Option *

ONLINE (PayPal) E-Transfer to paybac@bachurch.com (password: kidcrew) In Person (cash/cheque)

Kid Crew Registration (2022 - 2023)