Enrol for Holiday Bible Club January 2020
Holiday Bible Club: Tues 14 & Wed 15 January 2020
131 Gunnedah Road, Taminda, Tamworth NSW
Contact us: Sam Blaxland 0491 119 982
Sponsored by Tamworth Bible Baptist Church
Free Entry | Ages 6-13
Which days will the child(ren) be attending?
Tuesday 14 Jan
Wednesday 15 Jan
First and last name
Date of birth
Child's medical details
Does the child suffer from (please tick)
None of the below
A current illness
Anaphylaxis (Epipen required)
Asthma (plan required)
If you have ticked any of the medical conditions listed, please provide further information regarding the condition and the administration of any medication in the space provided.
(eg. Asthma - 2 puffs of Bricanyl to be taken at 9 am) Please note: Scheduled medication must be provided in the original container (as required by legislation).
Position on card
Child's dietary information
If your child has special dietary requirements, please provide the necessary information in the space provided.
Enrol a second child?
I would like to enrol a second child
I have finished enroling children
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