Summerfest Youth 2024
3 January, 2024 7:00 PM - 6 January, 2024 9:00 PM
$2 per day, payment upon entry.
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Youth Registration
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Youth Registration
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First Name
*
Last Name
*
Mobile Number
*
School
*
School Year (2024)
*
7
8
9
10
11
12
Date of Birth
*
How did you hear about this event?
*
Website
Facebook
Lighthouse Church
Another Church
Invited by friend
Letterbox flyer
Lighthouse Youth
Doylo Carols
Summerfest Carnival
Radio
Google Search
Other
Which friend invited you?
Emergency Contact Full Name
*
Emergency Contact Phone Number
*
Emergency Contact Relationship
*
Are there any Allergies or medical needs? Please list all.
*
Occasionally photos and videos may be taken during Summerfest Youth for the purpose of advertising. If you do not consent for your child to be photographed or videoed, please write 'no photos' below. If you are okay with them be occasionally photographed/videoed just leave this blank.
In case of medical emergency, I hereby give permission to the doctor chosen by the church authorities or other persons supervising or administering the children's activity, to ensure proper treatment for/and/or hospitalisation, injection, anesthetic or surgery for my child as named. I understand that every effort will be made to contact me prior to instituting such procedures
I agree