Abergavenny Baptist Church

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Children and Youth Registration Form

電子郵件 *

Child's First Name *

Child's Surname *

Child's Date of Birth *

YYYY

Parent's first name *

Parent's surname *

Parent's emergency contact number *

Second emergency contact (name) *

Second emergency contact number *

Address (Child's) *

Is there anything that we need to know about your child (allergies, additional learning needs, food intolerances) in order for us to support them?

Which Sunday group does your child attend? *

1 - Creche (under 3 years old)

2 - Bubbles (3 - 5 year olds)

3 - Splash (6 - 8 year olds)

4 - Stream (9 - 11 year olds)

5 - Oceans (11 years and upwards)

6 - None of the above

必填

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