Megg's Café Summer Club 1st-5th July 2019 Registration
Registration for Megg's Café and/or Make A Meal Of It
Child's Full Name *
Your answer
Male/Female *
Club Registered For (Tick one or both options) *
Required
Date of birth *
MM
/
DD
/
YYYY
School Year (Starting in August) *
Your answer
Parent's Full Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone number *
Your answer
Emergency Contact Name (in case we cannot contact you) *
Your answer
Emergency Contact Number *
Your answer
GP's Name & Surgery *
Your answer
GP's Contact Number *
Your answer
Any known allergies or conditions *
Your answer
Photographs of the children may be taken during our Megg’s Café activities to show during our Sunday Family Celebration. Please indicate here if you are willing for your child to be photographed for this purpose. Photography is not allowed during Make a Meal Of It. I give permission for my child to be photographed at Megg’s Kitchen *
My child may go home on his/her own after the club *
I CONFIRM THAT THE ABOVE DETAILS ARE COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE. In the unlikely event of illness or accident, I give permission for any appropriate first aid to be given by the nominated first-aider. In an emergency, and if I cannot be contacted, I am willing for my child to be given hospital treatment, including anaesthetic if necessary. I understand that every effort will be made to contact me as soon as possible. *
By submitting this form you agree to your details being made accessible to the Megg’s Kitchen & Make A Meal Of It leaders for emergency use only. We would also like to keep your contact details to let you know of other future events for children & families. We will never give them to anyone else. Please tick this box if you are happy for us to do this. You can request for your details to be removed at any time by contacting Phil Tatlow via the contact form on the Ardrossan Church of the Nazarene website or on 07709 900714
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