Streetreach Kids Club.                                      Wednesday 6th and Thursday 7th July 2022.            From 2.30pm until 4.30pm each day.
Registration form for Children's Club in Church of the Holy Spirit, Mossley.
One form is required for each child who wants to attend.
Children must be currently of Primary School age (P1-P7).  
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Email *
Child's Name *
Child's Date of Birth *
Contact Email *
Parent / Guardian Contact Name and Phone Number *
Please indicate the days that you wish for your child to attend the Kids Club. *
Doctor's Name and Address *
In the event of an emergency, do we have your permission to administer first aid? *
Do you give permission for your child to appear in photographs that may be posted to social media? *
Special Educational Needs and Disabilities (SEND)
Medical Information (Allergies/Intolerances)
A copy of your responses will be emailed to the address you provided.
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