Southwold Beach Mission Child Registration Form
We're so pleased you/ your child can join us on this year's Beach Mission.

Please fill out one Registration Form for each child who will be attending. By submitting the form you agree that the information on this form is correct at the time of writing and that you are happy for the child to be in the care of Southwold Scripture Union Beach Mission for the days and activities they attend.

The information on this form will be used for registration and communication purposes only and will not be shared with any third parties.
Child First Name *
Your answer
Child Surname *
Your answer
Age *
Date of Birth *
MM
/
DD
/
YYYY
Does your child have any allergies, illnesses or additional needs that we should be aware of? *
Your answer
Parent/ Carer First Name *
Your answer
Parent/ Carer Surname *
Your answer
Parent/ Carer Email Address *
Your answer
Parent/ Carer Phone number *
Your answer
Address during the Beach Mission *
Your answer
Home Address (if different from above) *
Your answer
How will your child make their way to and from events? *
Name of accompanying adult and relationship to child
Your answer
How did you hear about Southwold Beach Mission? *
Do you attend church regularly? *
Your answer
Would you be happy to receive postcards/updates/emails from Southwold Beach Mission during the year? *
Would you be happy for photographs of your child to be used in Southwold Beach Mission publicity? *
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