JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Kidz Klub Registration 2022-2023
Please note that one registration per child is required , and there will be a fee of $10 paid to SEMC at the door upon arrival.
If you have any questions regarding Kidz Klub, please contact Joseph Hung at 647-703-7093 or jcy.hung91gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First and last name of participant:
Your answer
Parents/ Guardian:
Your answer
Address:
*
Your answer
Contact Number:
*
Your answer
In case of emergency call:
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Grade:
*
Your answer
Church affiliation:
Your answer
Medical/dietary information we should know about:
*
Your answer
Arrival and Pick-up information:
My child has permission to sign in and out:
Yes
No
My child has permission to walk alone:
*
Yes
No
My child will be brought and picked-up by
*
Your answer
There may be times that pictures or videos of the children will be taken to promote SEMC ministries.
I give permission for pictures and video of my child to be taken, and I give SEMC the rights to publish the photos and videos of my child.
*
Yes
No
SEMC has taken all reasonable precautions to provide a safe environment for our children. In the event of injury or sickness, SEMC and it's volunteers are hereby released from any liability.
In the event of an accident all reasonable measures will be taken to contact the parents/guardians and provide appropriate medical attention.
Parent/guardian signature:
*
Your answer
Date
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
