Rexdale Gospel Hall - FREE SIGNUP - KIDS TENT Aug 13-17; 10-11:45am

1st Child's Name^*

1st Child's Age

Additional Siblings attending & ages (this form can be used for all siblings)

Home address

Consenting Parent's Name^*

Consenting Parent Phone Number^*

Consenting Parent's Email address

Alternate Emergency contact & phone number

Any medical concerns?

PARENT PLEASE READ: As the parent(s) of the children listed on this form, I have completed this form and hereby authorize my child to attend the Rexdale Gospel Hall's Kids Bible Tent.