Trenton Wesleyan ChurchTW Tuesdays Registration Form 2023-2024 Please complete the form below to register your student(s) for TW Tuesdays at Trenton Wesleyan Church.Student InformationWhich program are you registering your student for?(Required)Stepping Stones (SK to Grade 5)the ROCK (Grades 6 to 8)The Summit (Grades 9 to 11)Name of Student Grade Birth Date Allergies, Health Concerns or Special Needs Name of Home Church Add 2nd Student from same household? Yes No Name of Student Grade Birth Date Allergies, Health Concerns or Special Needs Add 3rd Student from same household? Yes No Name of Student Grade Birth Date Allergies, Health Concerns or Special Needs Add 4th Student from same household? Yes No Name of Student Grade Birth Date Allergies, Health Concerns or Special Needs Emergency InformationMailing Address Postal Code Home Phone Number Name of 1st Parent/Guardian Cell Phone Number Email Address(Required) Name of 2nd Parent/Guardian Cell Phone Number Email Address(Required) Alternative Emergency Contact Name Alternative Emergency Contact Number Consent FormI give permission for my child(ren)'s photos and videos to be shown in the church. Yes No I give permission for my child(ren) to be involved in activities on, and around the neighbourhood of Trenton Wesleyan Church. I consent to have my child attend The Summit/The Rock Youth Group which may involve walking to the park, meeting with other local youth groups, neighbouring events, and other youth group related activities. Yes No Signature (name) Δ Please complete the form below to register your student(s) for TW Tuesdays at Trenton Wesleyan Church.Student InformationWhich program are you registering your student for?(Required)Stepping Stones (SK to Grade 5)the ROCK (Grades 6 to 8)The Summit (Grades 9 to 11)Name of Student Grade Birth Date Allergies, Health Concerns or Special Needs Name of Home Church Add 2nd Student from same household? Yes No Name of Student Grade Birth Date Allergies, Health Concerns or Special Needs Add 3rd Student from same household? Yes No Name of Student Grade Birth Date Allergies, Health Concerns or Special Needs Add 4th Student from same household? Yes No Name of Student Grade Birth Date Allergies, Health Concerns or Special Needs Emergency InformationMailing Address Postal Code Home Phone Number Name of 1st Parent/Guardian Cell Phone Number Email Address(Required) Name of 2nd Parent/Guardian Cell Phone Number Email Address(Required) Alternative Emergency Contact Name Alternative Emergency Contact Number Consent FormI give permission for my child(ren)'s photos and videos to be shown in the church. Yes No I give permission for my child(ren) to be involved in activities on, and around the neighbourhood of Trenton Wesleyan Church. I consent to have my child attend The Summit/The Rock Youth Group which may involve walking to the park, meeting with other local youth groups, neighbouring events, and other youth group related activities. Yes No Signature (name) Δ
