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Join us for an outback adventure!

August 5th-9th, 6:30pm-8:30pm | Ages 5 years to 6th grade

Register Here!

Kookaburra Coast Registration 2024

Name(s)*

Please list first and last along with their grade

Example: John Smith 4th grade

Contact Information

Parents/Guardian*

Address*

Phone*

Email*

Emergency Contact | Please provide first and last name with phone number*

Medical Information or Pickup Restrictions*

Home Church*

Images of my child(ren) can be used for promotional purposes on our website/Facebook*

Yes

No

Attendance*

Monday

Tuesday

Wednesday

Thursday

Friday

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