Kids Church and Youth Annual Information Form 2022

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Please fill in this form for ALL children/youth per family who will be attending Northridge Ministries eg Youth, Kids Church.

Privacy
The personal information you provide will be made available only to:
* the Northridge leaders involved in running or overseeing the activities in which your children/youth participate and only used in connection with the health and welfare of your children/youth while attending those activities, and
* medical and emergency services if Northridge leaders consider this necessary

Details of person completing this form

Are you completing this form as a: *

Full Name *

Mobile Phone *

Home Address

Home Phone

If you are not a parent of the children, please provide details of a parent of the children

Name

Parents Address

Contact number for parent

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