Holiday Kids Club 2024 - Race For Glory • St Lucia Bible Church

Holiday Kids' Club 2024, 24-26 June

Child Details

Child First Name *

Child Last Name *

Gender *

Child Date of Birth *

School Grade *

School Name

Child Allergies / Relevant Medical Information

Attendance and Payment

Days This Child Will Attend *

Monday

Tuesday

Wednesday

Payment Amount for this Child *

Please remember the sum of these amounts (of all children registered) for next payment page.

Payment Method *

Credit Card (payment on next page)

Bank Transfer (details below)

Account details for bank transfers (will be shown again on next page)
Account Name: Unichurch Qld Inc
BSB: 484-799
Account No: 050974730
Use reference: HKC [YourName]

To register more children, use the + Add Another Child button below after entering parent/guardian details.

Parent/Guardian Details

Please enter your contact details as parent or guardian registering the child/children.

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Mobile Number *

Parent/Guardian Email *

Parent/Guardian Address *

If another Parent or Guardian will be the main contact during the Holiday Kids Club program (e.g. sign-in, pick-up, emergency contact), please specify below. Otherwise leave blank if above details are suitable for this.

Name of Main Contact Parent/Guardian

Mobile Number of Main Contact Parent/Guardian

Note: These parent/guardian details will be pre-filled when you use the + Add Another Child button below. So you don't have to type it again :)

Church attended (if applicable)

How did you hear about Holiday Kids' Club?

Any Further Comments?

By registering, Permission is granted for reasonable use of photos and videos of your child for use in church and website and media. Consent can be withdrawn or modified at any time in writing to office@slbc.org.au