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Registration Form

We ask that families with children and youth fill in the Online Registration Form to ensure proper care and programming for your children. Please fill in the Registration Form below … Thanks!
Minister of Children & Youth, Fairlawn Avenue United Church
416-481-6848, ext. 25

Spirit Space Registration for Children & Youth

We are delighted to have you and your family as part of the Children and Youth Ministry at Fairlawn. Your information will be used to assist in planning activities suitable to the group. Information about children's birth dates and interests will be secure and confidential.

NAME OF PARENT(s) or GUARDIAN(s)*
HOME ADDRESS*
Street Address Address Line 2 City Postal Code
PHONE NUMBER*
Alternate phone number (e.g., cell phone or other parent)
EMAIL ADDRESS*
2nd email address, if appropriate
I give permission for my child(ren) to participate in activities and programs of the Children and Youth Ministry at Fairlawn Avenue United Church.*
- Yes
- No
I give permission for my child(ren) to appear in photos, videos, congregational newsletters, blogs, church website, etc.*
- Yes
- No
I am able to support the Children and Youth Ministry in the following ways (check all that are applicable):*
- Helping to organize special events
- Helping on the day of events
- Volunteering in the Toddler Room
- Running the video booth during church service (youth or adults)
- Other
- Sorry, I am unable to help
NAME OF CHILD (1)*
Date of birth for child (1)*

YYYY
MM
DD
NAME OF CHILD (2)
Date of birth for child (2)

YYYY
MM
DD
NAME OF CHILD (3)
Date of birth for child (3)

YYYY
MM
DD
NAME OF CHILD (4)
Date of birth for child (4)

YYYY
MM
DD
Allergies or special needs (specify for each child by name)
Special interests and passions (specify for each child by name)
Name
This field is for validation purposes and should be left unchanged.

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Fairlawn Avenue United Church

Address:	28 Fairlawn Avenue Toronto, Ontario M5M 1S7
Visit us:	Location -- Parking
Phone:	416 481 6848
Fax:	416 481 4109
Email:	ac.de1495681164tinue1495681164uneva1495681164nwalr1495681164iaf@e1495681164ciffo1495681164hcruh1495681164c1495681164
Web:	fairlawnchurch.ca

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