Sion Church, Mississauga - Kingdom Kids Club
Child Registration Form
Parents/Guardians Contact Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Street Address line 1
*
Street Address line 2
City
Postal/Zip Code
State/Province
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Emergency Contact Information
Contact#1 Name
*
Contact#1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact#1 Email Address
*
example@example.com
Contact#2 Name
Contact#2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Contact#2 Email Address
example@example.com
Registration Details for your Child(ren)
You can add up to 6 children. Age limit 6 years- 12 years
How many children are you registering?
*
Please Select
1
2
3
4
5
6
Child #1 Name
*
Child #1 Age
*
Please Select
6
7
8
9
10
11
12
Child #1 Allergies
*
Child #2 Name
Child #2 Age
Please Select
6
7
8
9
10
11
12
Child #2 Allergies
Child #3 Name
Child #3 Age
Please Select
6
7
8
9
10
11
12
Child #3 Allergies
Child #4 Name
Child #4 Age
Please Select
6
7
8
9
10
11
12
Child #4 Allergies
Child #5 Name
Child #5 Age
Please Select
6
7
8
9
10
11
12
Child #5 Allergies
Child #6 Name
Child #6 Age
Please Select
6
7
8
9
10
11
12
Child #6 Allergies
Parent/ Guardian Consent
During the Kingdom Kids Club meetings, photos and videos may be taken of participants for use in church-related materials. This may include posting on the church’s website, social media platforms, and YouTube channel for ministry, promotional, and informational purposes. We take care to use images appropriately and respectfully and will not identify children by their full name.
Consent for Photo and Video Use
*
I give permission for my child to be photographed and/or recorded during Kingdom Kids Club meetings, and for these photos/videos to be used by Sion Church for church-related purposes, including online platforms such as YouTube/Facebook.
I do NOT give permission for my child to be photographed or recorded during Vacation Bible School.
Parent/Guardian Full Name
*
Signature (Type Name)
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
General Comments
Register
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