Fall Great Escape Registration Form

Date: October 31 (Sunday)
Time: 2:00 - 3:30
Place: 685 Parking Lot

Please fill out this form and click submit.

1st Child Name

1st Child Grade

Please select one option.

Infant/Pre-School JK/SK Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

2nd Child Name

2nd Child Grade

Please select one option.

Infant/Pre-School JK/SK Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

3rd Child Name

3rd Child Grade

Please select one option.

Infant/Pre-School JK/SK Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

Parent/Guardian #1

Parent/Guardian #2

Parent/Guardian Email

This address will receive a confirmation email

Parent/Guardian Phone

Parent/Guardian Congregation

Please select one option.

CSC 粵語堂 ESC 英語堂 MSC 国语堂

Remarks

Guardian Consent
- NYCBC Privacy Disclaimer

- Digital Media Guidelines

I consent to my (our) child personal data being used by North York (Chinese) Baptist Church in accordance with the church Privacy Policy.

Please select all that apply.

Agree

I hereby grant permission for my child to be included in pictures, promo on materials and publications connected with NYCBC. My child’s picture may appear in publications and promotional areas such as Church newsletters, bulletin boards, www.nycbc.ca, NYCBC Facebook page, brochures, flyers, or in picture presentations to the congregation.

Please select one option.

Yes No

Description

Date: October 31 (Sunday)
Time: 2:00 - 3:30
Place: 685 Parking Lot

Please fill out this form and click submit.

Fall Great Escape Registration Form

Description

Please Fix the Following