JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Register for Summer Kids Club
Date:
July 8 to 12 (Monday-Friday)
Time:
9:30am-12:30pm
Where:
Rowandale Baptist Church, 162 Rowandale Ave.
Cost:
$30 per child
Age:
Born in 2019-2013, Entering K to Gr 6 in Fall 2024
Fill out one form per child
Sign in to Google
to save your progress.
Learn more
Child's name
First and Last
Your answer
Gender
Female
Male
Clear selection
Birth date
MM
/
DD
/
YYYY
Grade completed
Your answer
Address
Street, City, Province, Postal Code
Your answer
Parents/Guardian
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Emergency Contact Name
Your answer
Emergency Contact Relationship to Child
Your answer
Emergency Contact Phone
Your answer
Please place my child with:
Your answer
Name of home church
*If any
Your answer
Food Allergies
Your answer
Medical Concerns
Please provide explanation
Your answer
Personal Health ID No: (9 digit)
Your answer
Registration No: (6 digit)
Your answer
Family Physician:
Your answer
Family Physician Phone No:
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
