Church Summer Club Registration
Fill in your details to register for the summer club.
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
How many people in total will be attending (including yourself)
*
Child 1 Full Name
*
First Name
Last Name
Participant's Age
*
Child 2 Full Name
First Name
Last Name
Participant's Age
Child 3 Full Name
First Name
Last Name
Participant's Age
Child 4 Full Name
First Name
Last Name
Participant's Age
Emergency Contact Name (other than the adult accompanying the child/ren)
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Select date(s) to register
*
28 July 10am to 12 noon
29 July 10am to 12 noon
30 July 10am to 12 noon
As spaces are limited, please email office@stjustus.org if you book a place and then find you are unable to attend, so the the space can be given to someone on the waiting list.
Register
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