SERENGETI TREK: Gilnahirk Baptist Holiday Bible Club 2019
Event Timing: 19th - 25th August, 6.30pm - 8.30pm & Sunday 19th August
Event Address: Gilnahirk Baptist Church, 2 Middle Braniel Road
Contact us at 07894 905464 or
GBC Holiday Bible Club 2019
Registration Form
Please complete one form per child you wish to register
Child's Full Name *
Your answer
Child's Date of Birth *
What school year will your child be starting in September 2019 *
Child's Address during activity *
Your answer
Child's Home Address (if different from above)
Your answer
Name of Parent / Guardian *
Your answer
Parent / Guardian Email address *
Your answer
Parent / Guardian Phone Number *
Your answer
Name and contact telephone number for a second emergency contact *
Your answer
Please give details of any medical, dietary or additional needs that the team should be aware of to help plan for a safe and enjoyable time
Your answer
I, having parental responsibility for the above child, give permission for emergency medical treatment that may be necessary during the duration of the activity *
Do you give permission for your child to walk home after the event? *
Do you give permission for your child to be included in photos or video footage of the event, which may be used for publicity purposes *
I understand that I will be asked to sign a physical copy of this form to give permission for the above child on the first day they attend *
Data Privacy
The information you have given us in this form is held and used throughout the time of the activity. We do not share information with any other organisations.
Can we use the details you have given to contact you about future Gilnahirk Baptist Church events which we think may be of interest to you? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service