Champions Holiday Club Booking Form
Child 1 - name *
Fill in the details for one child and if they have siblings who are coming then there are boxes to fill in later in the form.
Your answer
Child 1 - Date of Birth *
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DD
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YYYY
Child 2 - name
Your answer
Child 2 - Date of Birth
MM
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DD
/
YYYY
Child 3 - name
Your answer
Child 3 Date of Birth
MM
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DD
/
YYYY
Child 4 - name
Your answer
Child 4 Date of Birth
MM
/
DD
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YYYY
Special Needs (inc allergies, dietary requirements and medication) *
Your answer
Emergency Contact Telephone Number *
Your answer
E-mail of parent *
Your answer
Address - House number and Street *
Your answer
Address - town *
Your answer
GP Name and Telephone Number *
Your answer
School attended *
Your answer
Afternoon Workshops - Please indicate below which workshop your child/children would like to do in the afternoons! (Choose one per child per afternoon).
Afternoon Workshop - Thursday
Sports
Mad Scientist
Creative - Drama, Puppets & Set Design - this is a 2-day option so sign up for 'Creative' on Friday too!
Child 1
Child 2
Child 3
Child 4
Afternoon Workshop - Friday
Sports
Mad Scientist
Creative - Drama, Puppets & Set Design - this is a 2-day option so sign up for 'Creative' on Thursday too!
Child 1
Child 2
Child 3
Child 4
Any friends attending
Your answer
If you would like to receive emails about other Oakhall Church Kids events then tick 'Yes please' below! *
Required
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
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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