2019 Eat, Connect + Learn: Kids Quest

THIS IS THE KIDS QUEST ACTIVE REGISTRATION PAGE. PLEASE FILL IN THIS FORM WITH THE NAME OF THE CHILD YOU WISH TO REGISTER. REGISTRATION MUST BE COMPLETED BY THE CHILD'S PARENT OR GUARDIAN. ONCE YOU SUBMIT THIS REGISTRATION, YOU WILL BE REDIRECTED TO THE WMB PAGE WHERE YOU CAN REGISTER ANOTHER FAMILY MEMBER.




Name of Attendee
First Name of Participant, as it would appear on a name tag
Last Name
Date of Birth (dd,mm,yy)
Contact Information
Parent/Guardian First Name
Parent/Guardian Last Name
Address
City
Province
Postal Code
Email Address (This is our first form of communication with you)
Phone Number
Sign Up Details
Please sign the attendee up for:
If an alternative meal is required for medical or religious reasons, please choose:
Please provide details regarding any health issues or behavioural concerns that will helps us care for your child:
Transportation is available to the Kingscourt Drive area and Victoria Hills neighbourhood. May we offer you a ride to Eat, Connect + Learn?
Is this your first time at WMB Church?
How did you hear about Eat, Connect + Learn?
If other, please provide details
Consents
Medical Consent: I consent to let program leaders seek medical attention for my child if immediate attention is deemed by the program leaders to be required. I understand program leaders will make every effort to reach me in the mean time.
Picture Consent: Understanding that WMB does not include the names of minors with their pictures in any promotional material, I consent to the use of pictures/videos taken of my child at activities and events, for website, promotional and reporting purposes.
Data Consent: I consent that the information provided through this registration may be added to the WMB church database to be used for church program purposes only, and not to be distributed to any outside party.
I understand submission of this registration implies an electronic signature


Are Required Fields