BLAST Kids Holiday Club Booking Form
Please fill in a separate form for each child!
Parent email *
Your answer
Child First Name *
Your answer
Child Surname *
Your answer
Medical/Special needs including dietary requirements *
Your answer
Child Date of Birth *
Please change the year to the year of your child's birth by clicking on 2019.
Emergency Contact Telephone Number *
Your answer
Afternoon Workshop
Choose one option for each day - you can opt for doing the same workshop each day as different activities will be on offer, or choose to do different workshops on different days! If your child can't make all 3 days then just select options for the day(s) they can come!
Mad Scientist & Lego building
Creative - arts, crafts, baking
Tuesday 27th
Wednesday 28th
Thursday 29th
Address - House number and Street *
Your answer
Address - town *
Your answer
GP Name and Telephone Number *
Your answer
School attended *
Your answer
Any friends attending
Your answer
We would love to let you know about other relevant Oakhall Church Kids events that we may organise. If you are happy for us to email you with details of other events indicate below! *
I hereby give permission for my child named above to take part in activities at Oakhall and give my consent for any necessary medical treatment or first aid arising out of illness or accident. SIGNED: *
Your answer
Your information
Oakhall Church holds this personal data for purposes of day-to-day administration and communication. In providing this data, you are giving your consent for it to be used in these ways. You have the right at any time, by contacting the Church office, to request correction or deletion of data that is currently held by Oakhall Church.
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