Superkids - Registration • Breakthrough Church

Welcome! We are excited to have your children joining Superkid Academy

Let's start with your details:

First Name *

Last Name *

Email Address

Mobile Number *

How many children would you like to register *

Your children's details:

Child #1 - Name

Child #1 - Age

Child #1 - Please list any allergies, dietary requirements or special needs of your child eg. asthma, diabetes, peanut allergy

Child #2 - Name

Child #2 - Age

Child #2 - Please list any allergies, dietary requirements or special needs of your child eg. asthma, diabetes, peanut allergy

Child #3 - Name

Child #3 - Age

Child #3 - Please list any allergies, dietary requirements or special needs of your child eg. asthma, diabetes, peanut allergy

Child #4 - Name

Child #4 - Age

Child #4 - Please list any allergies, dietary requirements or special needs of your child eg. asthma, diabetes, peanut allergy

Child #5 - Name

Child #5 - Age

Child #5 - Please list any allergies, dietary requirements or special needs of your child eg. asthma, diabetes, peanut allergy

Child #6 - Name

Child #6 - Age

Child #6 - Please list any allergies, dietary requirements or special needs of your child eg. asthma, diabetes, peanut allergy

Child #7 - Name

Child #7 - Age

Child #7 - Please list any allergies, dietary requirements or special needs of your child eg. asthma, diabetes, peanut allergy

Child #8 - Name

Child #8 - Age

Child #8 - Please list any allergies, dietary requirements or special needs of your child eg. asthma, diabetes, peanut allergy

Child #9 - Name

Child #9 - Age

Child #9 - Please list any allergies, dietary requirements or special needs of your child eg. asthma, diabetes, peanut allergy

Child #10 - Name

Child #10 - Age

Child #10 - Please list any allergies, dietary requirements or special needs of your child eg. asthma, diabetes, peanut allergy

ARE YOU SERIOUS??? I am guessing you are pulling my leg. Come on, TEN KIDS in Superkids age!

But... on the off chance you are actually legit and maybe registering your local playgroup etc. You have actually reached the maximum for this form. Please start a second registration form for the other children.

Permission for Photography

I understand that images of my children may be displayed in the church publications, church buildings or website. I understand that my child’s name will not be published or linked with photographs.

I give my permission for my child(ren) to be photographed or videoed. *

Yes

Special Requirements

Is there anything else you'd like us to know, to help us with the care of your child(ren)?

Signature