SJDH Holiday Club Registration 2019 *
SJDH Holiday Club Registration Form
* Your personal data is important to us and we will only use this information in accordance with our General Privacy Notice, which is available on our website at: www.sjdh.org
Full name of child (and 'known by' name, if different) *
Your answer
Date of birth: *
MM
/
DD
/
YYYY
School attended:
Your answer
National Curriculum Year Group (if applicable)
Name of the person(s) who have parental responsibility for the child: *
Your answer
Address: *
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Landline:
Your answer
Mobile *
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E-mail *
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Other emergency contact:
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