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Mar Zaia Children's Ministry School Registration
Allergies

If any of your kid(s) have Food Allergies please indicate it here.

EpiPen

If you are exposed to an allergy, do you require the use of an EpiPen?

Please indicate any other relevant information that you would need to share to ensure your safety and complete accessibility at the conference. (Ex. medical conditions that may require attention or medication).

Permission to Photograph & Photo Release

I grant the Assyrian Church of the East permission to use, publish, reproduce, and display photos of the children registered on this form, from any parish events, on our Social Media Accounts.


Registration Fee
  • Parish Facebook
  • Parish Youth Instagram
  • Parish Youth Facebook
  • YouTube

© Copyright 2020 by

St. Zaia Cathedral

Contact Us

Tel: (209) 526-2860

Email: info@marzaiacathedral.org

Address

1457 Mable Ave.

Modesto, CA 95355

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