REGISTER HERE!

THE COST OF THIS EVENT IS $15.00 per STUDENT!

**DATE: August 8th, 2024* (weather dependent)**

TO PAY THE $15, PLEASE E-TRANSFER streamschurchgiving@gmail.com

or BRING $15 BEFOREHAND/DAY OF.

THE EVENT WILL BE FROM 6:30-8:30pm

PICK-UP AND DROP-OFF ARE AT Sylvan Lake Aqua Splash

Located at 5104 Lakeshore Drive, Sylvan Lake, Alberta

Please bring a Swim Suit, Towel, and Change of Clothes.

PLEASE SIGN THE FORMS BELOW

THERE ARE 2 FORMS YOU MUST FILL OUT IN ORDER TO ATTEND

FORM #1

The party number is not applicable :)

Sign The Waiver!

Information received is confidential and is being gathered for the purposes of serving your child while in the care of Streams Church Red Deer and giving them permission to attend the event held by Streams Church Red Deer. Any medical information collected here serves to authorize Streams Church Red Deer, and its staff and volunteers, to obtain medical assistance in emergencies.

FORM #2

Student Name/Names

First Name

Last Name

Child 2

if needed

First Name

Last Name

Child 3

if needed

First Name

Last Name

Date of Birth

MM

DD

YYYY

Date of Birth

For Child 2

MM

DD

YYYY

Date of Birth

For Child 3

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Allergies

If none, say N/A (REQUIRED)

Does your child have any physical, emotional, mental behavioural conditions or limitations that our leaders should be aware of? If yes, please explain

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Phone Number

(###)

###

####

Parent/Guardian Email

In case of emergency, contact

Please include name, relation to child, and contact method (e.g. phone)

PHOTOS

Please sign below to grant permission for the reasonable use of pictures containing your child in any of the following ways: Brochures, Website, Church, Newsletters, Social Media.

By checking below, you grant permission for reasonable use of your child's pictures on our brochures, website, church, newsletters and/or social media

I agree

SIGN HERE - I agree that all the information listed above is accurate

electronic signature:

First Name

Last Name

STREAMS YOUTH

GOES TO THE WIBIT!!

REGISTER HERE!

THE COST OF THIS EVENT IS $15.00 per STUDENT!

**DATE: August 8th, 2024* (weather dependent)**

THE EVENT WILL BE FROM 6:30-8:30pm

PICK-UP AND DROP-OFF ARE AT Sylvan Lake Aqua Splash

Please bring a Swim Suit, Towel, and Change of Clothes.

PLEASE SIGN THE FORMS BELOW

THERE ARE 2 FORMS YOU MUST FILL OUT IN ORDER TO ATTEND

FORM #1

FORM #2

IF YOUR CHILD IS BRINGING A FRIEND, MAKE SURE THIS FORM IS FILLED OUT. THANK YOU.