Rejoice Kids Holiday Program — ReChurch, Craigieburn

Online (only) registrations will close on Thu 21 Sep.
Anyone wanting to register after that date will have to manually register their children on arrival.

Name of Parent/Guardian

First Name

Last Name

Contact Email

Contact Phone

(###)

###

####

How many children are you registering?

List each child's name

(seperated by a comma)

Do any of the children have allergies or dietary requirements?

No

Yes

If Yes, please describe their allergies/dietary requirements and any medication required.

Emergency Contact ON THE DAY

IF DIFFERENT TO CONTACT DETAILS PROVIDED ABOVE

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Once you hit submit, you will be directed to a payment section. If you prefer to pay on the night, please ignore the prompt!