FILLED AND SPILLED!!! New Life Kids Week 2022 Registration

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3900 Carey Road, Victoria BC V8Z 4E2
Contact us 250.475.1132 | info@newlifevictoria.com

Please complete one registration form per child.

Email *

Childs Name *

Child's age *

Child's BC medical card number *

Please List all Allergies and/or medical conditions for your child *

Parent\Guardians Name and contact phone number *

Secondary Emergency Contact Name and Phone Number (please choose someone other than the registered parent- we will contact parents FIRST in the case of an emergency) *

This year, children are allowed to choose whether they would like to go to the park for wide games for one hour each day, OR whether they would like to stay back at the church for CREATIVE ART WITH SUSAN time! All children under the age of six will be asked to stay back at the church. What do you choose for your child? *

I choose games at the park!

I choose "CREATIVE ART WITH SUSAN!" time at the church!

My child is under the age of 6, so they will stay back at the church for mini games and creative art

Do you allow pictures and/or video of your child, taken during the Kids Week, to be used for Truth Troopers promotional purposes on the Truth Troopers Facebook page and/or New Life Community Fellowship website? *

Yes

A copy of your responses will be emailed to the address you provided.

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