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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