Mile End Community Church > Kids Kingdom > Adventurers > Adventurers - Registration

Adventurers

Registration


Parent/Guardian Name *
Address *
City *
State *
Postcode *
Phone Number *
E-mail *
I give permission for MECC Adventurers to photograph my children and use these photographs in presentations, newsletters, scrapbooks, awards, local papers, MECC webpage and news magazines of the Seventh-Day Adventist Church. *
 Yes
 No
I am willing to assist MECC Adventurers Club in
 Being a teacher
 Being a class helper
 Running a craft activity
 Running a cooking activity
 Running games
Emergency Contact Information
Emergency Contact Name *
Relationship to children *
Phone Number *
Details of First Child
Name of First Child *
Date of Birth *
Which class does your First Child wish to join?
Medicare Number *
Details of Second Child
Does your First Child have any allergies or medical conditions we should be aware of? Please include any medications he/she may be taking.
Name of Second Child
Date of Birth
Which class does your Second Child wish to join?
Medicare Number
Does your Second Child have any allergies or medical conditions we should be aware of? Please include any medications he/she may be taking.
Details of Third Child
Name of Third Child
Date of Birth
Which class does your Third Child wish to join?
Medicare Number
Does your Third Child have any allergies or medical conditions we should be aware of? Please include any medications he/she may be taking.
Registration Details
Registration Fee *
Royal Blue Field Uniform Polo *
Royal Blue Field Uniform Polo Size (First Child)
Royal Blue Field Uniform Polo Size (Second Child)
Royal Blue Field Uniform Polo Size (Third Child)
Navy Blue Sash (one size fits all) *
Adventurer Sleeve Patch *
World Sleeve Patch *
Conference Sleeve Patch (optional) *
 
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