Crash Registration
for children who have just finished school years 6, 7, or 8
Child's details
First name *
Your answer
Surname *
Your answer
Gender *
Birth-date (day/month/year - not THIS year!) *
Your answer
School year completed *
CONTACT DETAILS
Address during mission week *
Your answer
Post code *
Your answer
Home address if different from above
Your answer
Post code
Your answer
Email address *
Your answer
Preferred phone contact number *
Your answer
Preferred phone contact name *
Your answer
Emergency second contact number & name *
Your answer
We would like to remind you that we are entirely dependent on your own and other people's generosity to enable Frinton Mission to continue. We don't receive any local authority or grant funding. Please consider giving at least £10 per child, or per family, to help maintain this wonderful annual week for all ages.
Any extra support your child might need? If appropriate, please arrange for a suitable support person to accompany your child during FM activities, and let us know
Supporters not closely related to the child need to have current DBS clearance.
Contact Jean (FM safeguarding officer) for reassurance or advice: jean.oehlrich@gmail.com
Type of extra support needed?
Your answer
Any allergies?
Your answer
Who is allowed to collect your child? *
Your answer
May they leave alone? *
May your child be included in photos or videos? *
Do you give permission for your child to leave the group venue during their session, under supervision of a group leader? *
What, if any, church connections do you have?
Your answer
We will only use your information in relation to FM activities, and will not share it with any third party without your specific permission. It will be stored securely for up to a year, then deleted.
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