Party in the Park

Child's Full Name

Gender

Male

Female

Parent/Guardian Full Name

Home Phone

Child's Age

Date of Birth * required

Alberta Health #

Parent Cell Phone

Address

Allergies/Conditions

Town

Email Address

What dates will your Child be attending? August 18/19/20/21

Dates attending

Church

# 1 Full Name

#2 Full Name

# 1 Relation

#2 Relation

# 1 Emergency Contact

#2 Emergency Contact

Please ensure that you read the Consent & Waiver document & then click the box to acknowledge you've done so.View Consent & Waiver Document

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Thanks for signing your child up to Party in the Park 2025

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