APA Kids Registration

Please fill out this form as the Primary Care giver on behalf of your child(ren). Select "add child" for each child in your household and add their information accordingly. You may also add any other Spouse/Care Givers to your household.

Your name *

Email address *

Phone number

Address

Household members

My Child is Age: *

Select all options that apply to the child(ren) in your household.

0 - 2 Years

2 + Years

Photo/Video Release (Optional) *

I give permission for my child(ren) to be photographed or videotaped in APA Kids and other APA events. I give permission for the photos and/or videos to be used in presentations, on social media, and in publications such as (but not limited to) promotions for APA.

Parental Consent & Medical Release *

I give consent for my child(ren) to attend APA Kids at Abbotsford Pentecostal Assembly and any special events which may take place on or off church property. I understand that, in the event medical treatment is required, every effort will be made to contact me. However, if I cannot be reached, I give permission to a licensed medical practitioner to provide the necessary care for my child(ren)'s well being.

I hereby release Abbotsford Pentecostal Assembly staff and volunteers from any liabilities which may occur at APA Kids.

Are there other trusted adults outside of your household who could potentially pick up your child(ren)?

Please List First & Last Name

Is there anyone who is NOT trusted to pick up your child(ren)?

I want to subscribe to the APA Kids Newsletter.

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