Vacation Bible School – Faith Alive Christian Centre | Mississauga | Brampton

FACC

WHAT
IS
COOKING?

We are serving

up a week

full of

faith, fun, and flavours

If you have any questions about our Children’s Ministry or Vacation Bible School, please contact the office at 905- 673-8753

Date

MM

DD

YYYY
Parent/Guardian Name*

FIRST

LAST
Child Name & Age*

NAME (First & Last) AGE
Phone*
Email*
2nd Parent/Guardian Name

FIRST

LAST
Phone
Emergency Contact Name*

FIRST

LAST
Phone*
Relationship:*
Who will attend?*

Name Adult or Child
Dietary Restrictions/Allergies or other Medical Conditions:
Please list any other information you’d like to include about your child:
Media Waiver*
- YES
- NO
Do you allow us to take photos/ Video of your child or children?
Name

This field is for validation purposes and should be left unchanged.