Holiday Club Registration Form
Child's Information
Name: *
Your answer
Age: *
Date of Birth: *
MM
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Attended Previous Holiday Club
Contact Details
Telephone Number
Your answer
Address
Your answer
Email Address
Your answer
Emergency Contact Details
Please provide details of someone who will be available in case of an emergency when the Holiday Club is taking place.
Name: *
Your answer
Number: *
Your answer
Relationship to the child: *
Your answer
Health Problems
We cannot take responsibility for children taking medications, and please don't rely on children to tell us about medical conditions. Please talk to us about any concerns. We supply squash and biscuits for a mid morning break, please inform us of any allergies.
Health problems we should know about:
Your answer
Allergies:
Your answer
Do we have permission to provide first aid if needed: *
Registration
Registration will cost £18 for the week or £4 for each morning your child attends. A charge of £3 will be made for each of the afternoon sessions and we ask for a donation for the BBQ (can be made on the evening). Once you have registered we will send you payment details.
Please note: the extra afternoon sessions are only available for children registered for the morning sessions. Children will need to be accompanied by an adult at the BBQ.
Please indicate which mornings you are booking for: *
Required
Which extra activities do you want to book:
Data Protection Policy
Information given on this form will be held on Church Databases at either St James Church or Westdale Lane Baptist church.
I would like to receive further information about future events: *
Photography Policy:
Photographs are used to promote this and other events, kept in digital format and published in our daily newsletter to parents and friends.
I give permission for my child's photograph to be taken: *
Aim of the Holiday Club
We seek to share the Christian story with children through games, songs, crafts, group discussion and drama. We welcome all children whether from a Christian background, other faiths or none.
Parents/Carers Consent
I confirm that I have read the above information and would like my child to take part in the Holiday Club.
Your name: *
Your answer
Relationship to child: *
Your answer
Date: *
MM
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DD
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