Secure Online Registration

Our community-wide Kidspace VBS known as W.O.W. Week is almost here! W.O.W. Week happens Mon-Thurs July 10-13 from         9 AM – 12:30 AM and ends Thursday evening with our family W.O.W. Night from 6 - 9 PM.

Registration is FREE and open to those going into K-6th grade. Kindergartners are welcome who will be 5 years old by Sept. 1 of this year.

Don’t let your kids miss W.O.W. Week 2017! It’s going to be Wonderfully Out of this WORLD!


Parent/Guardian Information

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Child #1

 

 

Child #2

 

 

Child #3

 

 

Emergency Contact

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Medical Conditions/Issue

 

Terms & Conditions

GUARDIAN CONSENT

If during any part of the children’s service/program, medical attention is required by my child, The House Modesto will provide appropriate first aid treatment, contact the guardian, and stay with the child until the guardian collects them. Medical care above and beyond this plan is my responsibility as the guardian. I authorize the leader in charge to take such action as may be necessary, including the calling of an ambulance and treatment by paramedics.

I understand photos and video will be taken and give permission for promotional footage to be used. No personal identifiers will be published outside of their photo/image.

Privacy Statement: We only collect information where it is necessary to do so to provide a service to you, or where required by law. Access to your personal information is restricted to staff and support staff who require information to provide a service to you. Personal information will not be shared with any organization or third party.

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