Kanata United Church Children Youth & Family Contact Information Form
This information is confidentially being requested & stored for the purpose of supporting KUC's Children & Youth Programming. This information will not be shared with any outside parties.
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Email *
Parent/Guardian First & Last Name (s) *
Parent/Guardian Home/Mailing Address
Parent/Guardian Cell/Home Phone Number *
List the Full Names of your Children & Youth, including their Ages Here (Youngest to Oldest) *
Please indicate Child/Youth #1 Age & Grade level in September, 2023 *
Please indicate Child/Youth #2  Age & Grade level in September, 2023 (Leave Blank if Not Applicable)
Please indicate Child/Youth #3 Age & Grade level in September, 2023  (Leave Blank if Not Applicable)
Please indicate Child #4 Age & Grade level in September 2023 (Leave Blank if Not Applicable)
Youth Email Address & Cell Phone Number (High School Age Students)
Please Share Which KUC Children & Youth Programming Interests Your Family? (Check ALL That Apply) *
Required
Allergies - Please identify any allergies we should be aware of for each child or youth.
Food, beverages and treats are served at almost all of our events.
*
Medical Conditions - Please identify any medical conditions we should be aware of for each child or youth *
Please submit any questions or comments you may have regarding CYF Programming and initiatives or Children & Youth Music
Media / Photo Release - KUC feels the time and events we spend together are worth sharing. In and effort to promote these special events, activities and outreach programs, we request your permission to share photos of your child via social media. These may include the KUC website, CYF Facebook Page and Twitter as well as local or national media publications. No specific personal information (names, address, phone numbers, contacts etc.) will be shared without written consent. *
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