Love, Joy, Peace...
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Child must be accompanied by a parent who is attending the event upstairs to be signed in and out of the Kids Program. 
Grandparents, other family members, or friends will not be permitted to sign child(ren) in or out.

List only the name(s) of the parent(s) who will be attending the event upstairs.
Please fill out a separate form for each child who will be attending.
Parent's Name(s) (Required)
Parents must sign their child(ren) in and out of the kid's program.
Parent's phone number (Required)
Please list a number we can call on the night of the event in case of an emergency
Child's Name (Required)
Child's Age (Required)
Does your child have any food allergies? (Required)
If you answered YES, please list them
Does your child have any medical or behavioural needs that we should know about? (Required)
If you answered YES, please explain
Does your child require medication? (Required)
If you answered YES, please list
Solve 1 + 9 = ?
Our Mission
Making disciples who love Jesus and love people.
Our Vision
Connecting to Jesus. Growing Together. Serving our Community.
 
Westburne Alliance Church
237 Rykert St
St Catharines, ON L2S 3T8
(905) 682-3511
 
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