Kids Klub

The Salvation Army Regina Community Church

Donate

Every Wednesday from 4:30pm-6:30pm

For kids aged 6-11
Come out for a time of exciting games, creative crafts and wholesome fun – all topped with a nutritious supper!

Where:
The Salvation Army
Regina Community Church
2240 – 13th Avenue

When: Wednesday’s
Drop off @ 4:30pm
Pickup @ 6:30pm

When does it start:
September 17th, 2025

For who:
All kids ages 6-11

Kids Klub Registration Form

Child's Name(Required)

First Last

Child's Age(Required)

Gender(Required)

Allergies / food restrictions

Please list any allergies your child may have including any dietary concerns such as gluten free, dairy free, etc. * Please note that children with extensive dietary concerns may be asked to provide their own meals

Medical conditions:

please list all medical conditions your child might have

Contact Details

Parent / Guardian Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

This field is hidden when viewing the form

Section Break

Media Permission(Required)

I give permission to The Salvation Army to use photography or video footage of my child at at events for promotional materials or on our website or Social Media platform.

Yes

Transportation Permission(Required)

I give permission for my child to attend any off site field trips organized by The Salvation Army Haven of Hope and acknowledge that transportation will be either by school bus or car.

Yes