All Saint's Family Cafe October Booking
Thank you for your interest in joining us at All Saint's Family Cafe. Please complete this form to request a place, we will then message you to confirm your booking.

This October we are open Tuesday 24th and Thursday 26th from 3pm - 5.30pm. Last entry is 4pm, we will be eating at 5pm (close at 5.30pm).

If you have any questions please get in touch with Amy 07749 812131 or allsaintsfamilycafe@gmail.com.


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Email *
Your Full Name (parent or carer attending) *
Your phone number *
Your postcode *
Child attending #1 Please provide FULL NAME, DATE OF BIRTH & SCHOOL NAME *
Child attending #2 Please provide  FULL NAME, DATE OF BIRTH & SCHOOL NAME
Child attending #3 Please provide  FULL NAME, DATE OF BIRTH & SCHOOL NAME
Child attending #4 Please provide FULL NAME, DATE OF BIRTH & SCHOOL NAME   (if there are more than 4 children attending you can add their details in the comments at the end)
Do you or any member of your family have any allergies or dietary requirements? E.g. Gluten free, Halal etc. *
If yes, please list the names and allergy/dietary requirements (e.g. the whole family - is vegetarian or Halal. Peter is  dairy free.)
Do you or any of your children have any support needs? Please tell us who and share the details of any disabilities or additional needs. Please share with us any useful information that will help us to support you/your child in a group session. For example, if they need a quiet space once in a while, support with communication, if they use a wheelchair etc.
I would like to request a space on 
Do you give consent for photos of your family to be used in association with All Saints Family Cafe and our partners, including social media (please note these photos may be seen by the public): *
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Please tick all that are true for you *
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Comments (please use this space to let us know about anything that is not on the form).
How did you hear about All Saint's Cafe
CONSENT – please read carefully.                                     By completing this form you agree to the following…                                   I agree to my child/ren taking part in the activities of All Saints Family Cafe. I understand I am fully responsible for my child at all times whilst at All Saints Family Cafe.  I understand that whilst every caution is taken to keep exits/gates closed, the building is in constant use and I am responsible for keeping my child within my sight. I confirm to the best of my knowledge that my child does not suffer from any medical condition or food allergies other than those listed on this form. I understand that the Church accepts no responsibility for loss, damage or injury caused by or during attendance on any of the clubs organised activities except where such loss, damage or injury can be shown to result directly from the negligence of the Church.                                                 I understand that the personal information I have provided will be handled by All Saints Family Cafe in accordance with the Data Protection Act 1998, and it will be used for the purpose of providing services and collating statistics. My information will be treated as confidential and will only be shared with other statutory organisations according to legal obligation. I can be be asked to be removed from the database by emailing allsaintsfamilycafe@gmail.com. *
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