GEMS Rolleston

Name: GEMS Rolleston
Start: 2021-02-11T16:45:00+00:00
End: 2021-02-11T18:00:00+00:00
Location: Rolleston Community Hall

February 11 @ 4:45 pm - 6:00 pm

|Recurring Event (See all)

Please note, we have a waiting list for some age groups.

Registration Fees*
T-shirt
Price: $ 15.00 Quantity:
Total
$ 0.00
Child's Name*
First Last
Parent's Email*
Parent's Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Child's Date of Birth
MM
DD
YYYY
Emergency contact (name and phone number)*
Home Phone Number*
GEMS - Please confirm my child's place in*
Please let us know the what year group for 2020
Any medical/dietary requirements?
If there are any medical or dietary requirements we should be aware of, please let us know.
Photo & Privacy consent - I consent*
- Yes
I understand that by filling out this form my information may be kept on file by Hope Presbyterian (and it's associated groups) to use for administrative purposes. I understand that photos from this event that may include pictures of me/others may be used by Hope Presbyterian (and it's associated groups) for promotional purposes.

94 Rolleston Drive
Rolleston,