Child Information

First Name *

Last Name *

Gender *

Birth Date * +

Grade *

Grades 3 & 4 (Deadline: Dec 10) *

Valley Of The Mother Of God (Sat, Dec 16 @ 7:00 AM to Sun, Dec 17 @ 5:00 PM) [$100]

Grades 5 & 6 (Deadline: Dec 5) *

Niagra Falls (Sat, Dec 16 @ 8:00 AM to Sun, Dec 17 @ 4:00 PM) [$130]

OHIP Number *

OHIP Code *

Does the Child have any Allergies/Medical Conditions that need to be considered? *

Allergies/Medical Conditions

Household / Adult Guardian

Guardian Name *

Guardian Cell Phone *

Alternate Phone

Guardian Email Address * 🛈

Confirm Guardian Email Address * 🛈

Agree to all the items on the Sunday School Activities Waiver *

I agree

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