King's Club - Guardians of Ancora
Christchurch, Ilkley
All Primary School Age Children Welcome.
10am - 12noon, Monday 15th - Friday 19th August
Child's Full Name
Your answer
Age / School Year
Your answer
Parent/Guardian name
Your answer
Telephone number
Your answer
Email address
Your answer
Address
Your answer
Emergency Contact & Phone Number
Your answer
Days
£2.50 per day or £10 for the week if paid on Monday 15th August. Register from 9.45am.
Required
Any known medical conditions or allergies?
Your answer
Child's doctor: Name
Your answer
Child's doctor: Phone number
Your answer
I give permission for my child's and my details to be entered on the churches' data base.
I give permission for my child's photograph to be taken during the club.
The photograph's will be used for church purposes only. eg. in church magazines, press releases, websites - no names will be used.
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