Cornerstone Kids 2021-2022 Registration
When: Sundays at 10:30 AM - 12:00 PM.
Where: 14 Cornerstone Drive, Truro, NS
Contact us at (902) 897-2833 or hannah@trurochurch.ca

Information received is confidential and is being gathered for the purpose of serving your child while in the care of Cornerstone Assembly. Any medical information collected here serves to authorize Cornerstone Assembly, and its staff and volunteers, to obtain medical assistance in emergencies.
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Parent/Guardian Information
Name(s) *
Phone Number *
Alternate Phone Number
Email Address (We will send you occasional emails about events and import updates) *
Mailing Address (We may occasionally send you resources for your family to use at home) *
Are there any Custody Concerns we should be aware of that will help us keep your child safe?
EMERGENCY CONTACT & ALTERNATE PICK-UP
Please list anyone below that may pick up your child.
Emergency Contact Name (Please indicate a local person that we can contact in the case of an emergency, other than the parent/guardian listed above) *
Emergency Contact Phone Number *
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