Holy Trinity Church 2024 Holiday Club "Going for Gold" - Registration and Consent Form 
In an Olympic year, "Going for Gold" will help your child think about how "run the race marked out for us, fixing our eyes on Jesus who goes before you" (Hebrews 12:1-2). It will run at Holy Trinity Church from Wednesday 31st July to Friday 2nd August 2024 from 9.30am to 3pm each day.

Complete this form to register your child. You will need to complete one form per child.
You'll then need to make a payment (£15.00 for the first child, £10.00 for each additional sibling) in order to confirm your booking. Details of how to pay are listed at the end of the form. If financial issues would prevent your child from attending, please do get in touch.
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Email *
Child's full name (first name and surname) *
Child's sex *
Child's date of birth *
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Current school year *
Name of one friend who is also attending holiday club
Address (including postcode, please) *
Emergency contact full name *
Relationship of emergency contact to child *
Emergency contact telephone number *
Emergency contact email address *
I give permission for my child's details to be entered onto the holiday club database (refusal means we are unable to host your child) *
Required

I would like to receive details of future Holiday Clubs or other events hosted by Holy Trinity Church (please see our church's privacy notice).

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I give permission for my child's photograph(s) to be taken during this holiday club. These photos will be used for church publicity purposes only - they may appear on our website and social media feed, including YouTube and Facebook.

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Name of child's GP *
Telephone number of GP *
Please list any known allergies, medical conditions or additional needs. If your child has significant additional needs, please do get in touch, in order that we can work out how best we can accommodate them.
If none known, please write "none known"
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I confirm that the above details are complete and correct to the best of my knowledge. In the unlikely event of illness or accident, I give permission for any appropriate first aid to be given by the nominated first-aider. In an emergency, and if I cannot be contacted, I am willing for my child to be given hospital treatment, including anaesthetic if necessary. I understand that every effort will be made to contact me as soon as possible.

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Required
I will make a payment by: *
Full name of parent/carer completing this form *
Date of completing this form *
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