2019 Kids Musical

WHO: boys and girls entering grades 1-8 in Fall 2019

WHERE: WMB Church, Waterloo site

WHEN: Weekly Rehearsals: Wednesday nights 6:30-8pm

Performances: Saturday, December 7 6:30pm, Sunday, December 8 9am and 11:15am

Dress Rehearsal: Wednesday, December 4 5-9pm, Friday, December 6 6-8pm

COST: $50 for the first child and $40 for each additional child in your family
Registration includes: T-shirt, downloadable listening/practice tracks, discipleship time based on biblical principles, pizza supper (Wednesday dress rehearsal), snacks (during performances), and lots of FUN!!

To pay online, click the link at the bottom of this form to open the payment page and then click the green submit button on THIS form to FINISH THIS REGISTRATION. Then proceed to the payment page, or let this page reload to register other children.

If you do not wish to pay online, please do one of the following:

  • drop by the church office at WMB Church, 245 Lexington Road, Waterloo, 9am-4pm Monday to Friday
  • Call Ann in the church office at 519.885.5330 to make alternate arrangements




PARTICIPANT INFORMATION:
First Name
Last Name
Birth Date: (month/day/year)
Grade as of September 2019:
T-Shirt Size
FAMILY INFORMATION
Parent/Guardian First Name
Parent/Guardian Last Name
Address
City
Province
Postal Code
Email Address (This is our primary way to communicate so please provide if you have one)
Phone Number
ALTERNATE EMERGENCY INFORMATION
Emergency Contact Name (if parent/guardian is not available):
Emergency Contact Phone Number (if parent or guardian is not available):
MEDICAL INFORMATION
Please list any allergies for this child:
PERMISSIONS & CONSENTS
PICTURE CONSENT:
Understanding that names of minors will not be included with their pictures in any promotional material, I consent to the use of pictures/videos taken of my child for WMB website, promotional and reporting purposes within WMB Church.
MEDICAL CONSENT:
I consent to let program leaders seek medical attention for my child if I cannot be reached and immediate attention is deemed by the program leaders to be required. I understand that the leaders will make every effort to continue to contact me in the event of such a medical emergency.
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.
ELECTRONIC SIGNATURE:
Submission of this registration form implies an electronic signature
PAYMENT

BEFORE YOU CLICK THE GREEN SUBMIT BUTTON, right-click here to open A NEW payment form. Once it is open, click SUBMIT ON THIS PAGE, then move on to the payment page.


Are Required Fields