Giving Hope Today

Kids Klub Registration Form

Child's Name

First Name

Last Name

Child's Age

Birthdate

YYYY

gender

female

male

other

Allergies / food restrictions

Please list any allergies your child may have including any dietary concerns such as gluten free, dairy free, etc. * Please note that children with extensive dietary concerns may be asked to provide their own meals.

Medical conditions:

please list all medical conditions your child might have

Parent/ Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

(###)

###

####

Media Permission

I give permission to The Salvation Army Saskatoon Temple to use photography or video footage of my child at camp for promotional materials or on our website or Social Media platform.

Yes

Transportation Permission

I give permission for my child to attend any off site field trips organized by The Salvation Army Saskatoon Temple and acknowledge that transportation will be either by school bus or car.

Yes