Register Here

If you encouter difficulties with the online registration, please email rachel@glamorganchurch.ca or call Pastor Rachel at the church and she will assist you (403-242-1921 ext. 24).

Welcome!

We will be limiting registration to 20 kids each week. Pastor Rachel will confirm your registration by email.

Child(ren) / Family Details

You may register up to 3 children from the same family on this form.

Child #1 Name *

First

Last

Child #1 Grade - Grade One to Grade 6

Child #2 Grade - Grade One to Grade 6

Child #3 Grade - Grade One to Grade 6 (copy)

Parental Details

Guardian's Name *

First

Last

Email *

Parent phone number(s) *

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Please list any additional adults authorized to pick up your child:

We will be taking photos and video footage of the children throughout the program. We would like to use these photos and video footage on our website to promote HUB Kids and for any internal use for HUB Kids or Glamorgan Church. In order to use photos of your child for these purposes we will need your written consent. Do you give us permission to use photos and or videos of your child(ren)? *

Does your child have any allergies (foods, medication, animals etc.?) If yes, please list which child has allergies. *

If yes to allergies, please list the child's name and all allergies

Does your child have any dietary restrictions based on religious beliefs? We are happy to accommodate your needs. *

If yes, please list dietary restrictions

Please list any other special needs (medical, behavioral, emotional etc.):

Emergency Contact

Name *

First

Last

Emergency Contact Phone Number *

Liability Waiver

In consideration of my(our) child(ren) being allowed to participate in HUB KiDs activities, I (we) agree to indemnify and hold harmless the Glamorgan Church of God, the HUB KiDs leaders, any and all affiliated organizations, their employees, agents and representatives, including volunteers and other drivers, from any and all claims, including negligence, arising from or relating to my(our) child(ren)'s participation in these activities. This indemnification and hold harmless agreement does not apply to claims for intentional misconduct or gross negligence. *