St Gabriel's, Greystones Holiday Club 2019
Event Timing: 9:30 - 12 noon, Monday 5th - Thursday 8th August, 2019
Event Address: St Gabriel's Church, Dobbin Hill
Contact us at 07769 213581 or vicar@saintgs.co.uk
Child Name and Date of Birth *
Your answer
Child Name (2) and Date of Birth
Your answer
Child Name (3) and Date of Birth
Your answer
Parent/Carer's Name *
Your answer
Address *
Your answer
Parent's / Carer's Email Address *
Your answer
Emergency Contact Numbers (please provide two) *
Your answer
What days will your child(ren) attend?
All DAYS
Day 1
Day 2
Day 3
Day 4
Child 1
Child 2
Child 3
What school year are they in NOW?
Reception
Y1
Y2
Y3
Y4
Y5
Y6
Child 1
Child 2
Child 3
Allergies or medical conditions that we should be aware of
Your answer
The full cost of Holiday Club is £14 for all 4 days or £4 per day.
Additional children from the same family: 2 - £25 for all days, 3: £30 for all days
Please pay by: *
Required
I give permission for St Gabriel's to use these details provided for the purpose of Holiday Club *
I give permission for this information to be retained on the St Gabriel's 'church directory' for future projects. *
Tick NO'' if you wish for your child's details to be removed immediately after holiday club
I give permission for St Gabriel's to photograph and film my child during Holiday Club for use on the website and publicity materials. I understand the images will remain the property of St Gabriel and will be used for promoting the activities of St Gabriel and that no child will be identified by name. *
Do not tick if you wish for your child's details to be removed immediately after holiday club
The information given on this form will only be used by St Gabriel, Greystones for ministry purposes and will not be shared.
You can find out more about how we use your data from our "Data Privacy Notice' which is available from our website: http://www.saintgs.co.uk/ or from the vicar at vicar@saintgs.co.uk. You can withdraw or change your consent at any time by contacting the church office.
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