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56er's September 3 2021
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Email
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Your email
I will be attending 56er's at Hope Valley Church on September 3 2021 5-7pm.
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Yes
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Child's name
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Your answer
Date of birth
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DD
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YYYY
Gender
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Female
Male
Year Level
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Your answer
Any dietary requirements?
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Yes
No
Please specify dietary needs
Your answer
Any medical conditions/allergies?
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Yes
No
Please specify medical conditions/allergies
Your answer
Emergency contact name
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Your answer
Emergency contact number
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Your answer
Permission: I understand that if my child(ren) needs medical attention, I/we will be contacted immediately to take whatever steps are necessary for my/our child(ren).
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Yes
Required
I/we accept that volunteers and staff connected with Church programs will take every care, and cannot be held accountable for personal injury, loss or theft of property affecting my/our child(ren).
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Yes
Required
I/we are happy for photographic images and video of my/our child(ren) to be used for promotional purposes of Hope Valley Church.
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Yes
No
Agreement: Please note that if my child's behaviour becomes inappropriate or unmanageable during this event, parents will be contacted for their collection.
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We are looking forward to seeing your child at 56er's on September 3 2021. If current restrictions change due to our COVIDsafe plan and we are unable to hold this event we will contact you via email.
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