Form

Children's community fun event. Bring your children along for a fun afternoon!

Section one: 1 pm-3 pm, Section two: 3 pm-5 pm, Saturday, 11 July.

📍9 Yampi Way, Willetton

Child one

Full NameAge

Gender

Child two

Full NameAge

Gender

Child three

Full NameAge

Gender

Parent name

First NameLast Name

Mobile phone number

Area Code Phone Number

Email

Medical conditions we need to know about the child MUST include allergies, especially food allergies:

Please specify if you have any accessibility requirements.

Parent supervision: I understand that this event requires parents to remain on-site and supervise their children throughout. I acknowledge that I am responsible for the care and supervision of my children during the event.

Photography and media consent: photos or videos may be taken during the event for church communication purposes (e.g. newsletters or social media). I give my child permission to appear in photos or videos.

Would you like to receive our new event information by email or message?

Please contact us if you have any questions: Kok Fai, 0466972455. Our website: https://carmelbpc.org.au/en_us/

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