Hollygarth Holiday Club
Child's Full Name *
Please submit a separate form for each child
Your answer
Age/School Year *
Your answer
Parent/Carer Name *
Your answer
Telephone Number *
Your answer
Email Address *
To notify you of any changes to the programme
Your answer
Address *
In case we need to find you on the day
Your answer
Emergency Contact & Phone Number *
Your answer
Days
To help us plan catering
Know medical conditions or allergies (if any)
Your answer
Child's Doctor: Name *
Your answer
Child's Doctor: Phone Number *
Your answer
I give permission for my child's details to be entered on the churches' database *
I give permission for my child's photograph to be taken during the club. *
The photographs will be used for church purposes only. eg. in church magazines, press releases, websites - no names will be used.
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