Sunday Salt - Child Sign Up Form

Sunday Salt - Child Sign Up Form

Please help us to maintain a safe ministry environment by filling out this form.
Name of Child

First NameLast Name
Birthdate of Child

DayMonthYear
Date
General Pickup Address of Child

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number for Emergencies
Please enter a valid phone number.Format: (000) 000-0000.
I agree to my child attending the ministries of Ephraim House, which also includes being PICKED UP and DROPPED OFF from/to wherever the child is on the day.

I understand that Paul and Erin, and the Ephraim House ministry team are careful to care and provide a safe environment for children. Sometimes though there are incidents that cannot be prevented, and in the event of my child being injured or belongings being broken I will not seek compensation from Ephraim House, Paul & Erin or any of the volunteers involved in the programme.

I understand that if I have any concerns or feedback, I can contact Paul on 0438758629.
Name of Parent / Carer

First NameLast Name
Signature of Parent Carer
Should be Empty: