Registration for GLOW KIDS - Wednesday Night Program

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The Salvation Army Bowmanville GLOW KIDS Registration Form- Wednesday Night Kids!

Wednesday evening kids' program for ages 6-12 years, every Wednesday night from 6:30 PM - 8:00 PM starting April 3rd. Music, Bible lessons, games, dance, sports, arts, crafts, snacks and more!

Child Information

Move slider to confirm how many children you are registering

Selected Value: 1

Child 1 Name *

First

Last

Child 1 Age

Child 1 Date of Birth *

Parent/Guardian Information (emergancy contact)

Name *

First

Last

Email *

Confirm Email

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please list details of Allergies and Medical Concerns or "NONE" *

Signature (draw with with cursor or finger) *

Draw signature with cursor or finger if touch screen.

Child Information

Parent/Guardian Information (emergancy contact)

The Salvation Army Bowmanville Community Church

The Salvation Army Bowmanville Food Bank
Tammie Vanderduim – Community Ministries Coordinator

The Salvation Army Bowmanville Thrift Store
Judy Sudsbury – Manager