Light Party Registration Form
Thank you for your interest in the Light Party on 31st October from 5pm - 6.30pm.

If you are registering more than one child, please fill out a separate form.

Email address *
Child's Full Name *
Your answer
Date of Birth *
Your answer
Current School Year *
Your answer
Sex *
Address *
Your answer
Full Name of Parent/Guardian *
Your answer
Emergency phone number *
Your answer
Alternative Contact Name *
Your answer
Alternative Phone Number *
Your answer
Name of GP *
Your answer
Phone Number of GP *
Your answer
Email address *
Your answer
Does your child have any known food allergies? *
Your answer
Does your child have any known medical conditions? *
Your answer
Please indicate if your child will need help with reading or writing. *
I confirm that the above details are correct to the best of my knowledge *
Required
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. *
If you answer no, please contact the church on bosbap@hotmail.co.uk to clarify. Please ensure you include the name of the child as the subject of the email.
I give permission for my child to be photographed at the Light Party by a designated member of the team or by the local press *
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