Jr. Youth Activity Nights Summer 2026 Sign Up

IMPORTANT: If you have not done so already, please fill the emergency contact form here: https://sgmr.breezechms.com/form/e4bbca. You must fill out the emergency contact form for each child for summer 2026 events at St George's. This information will be securely stored in our system for the sole purpose of kids events at St George's and is required to attend Jr. Youth Activity Nights Summer 2026. If you have filled this out before please login to Breeze and you can check the info is still accurate.

Where? St George Maple Ridge Church
When? August 5 @ 2-4pm & August 24 @4-7pm
Who? Ages 8-12

Cost? $5 per child every time

Parent Info

Parent Name

This address will receive a confirmation email

Phone

Address

Child Info

First Name, Last Name & Age of Child #1

Full Name, Last Name & Age of Child #2

Full Name, Last Name & Age of Child #3

First Name, Last Name & Age of additional Children

Anything we should know about your child?

Emergency Contact

Do we have current emergency info for each child? (If your answer is no, please do so using the link above FIRST))

Yes No

Will your emergency contact listed be available for every night your child is attending?

Yes No Unsure|N/A

If your answer was "no" for the above question, please proceed to put an available emergency contact down below.

Emergency Contact Name

Emergency Contact Phone

Payment

Will your child/children be attending every night

Yes No

Which date(s) will your child(ren) be attending

Monday August 24

Costs:

Regular Pricing:
$5 per child per event

Payment

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Jr. Youth Activity Nights Summer 2026 Sign Up

Description

Please Fix the Following