Trinity RP Holiday Bible Club Consent Form
Please fill out one form per child - thank you

Child protection legislation requires us to hold essential information about your child's attendance at the Holiday Bible Club, by filling in this form, you consent to this.
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Name of Child *
Child's age *
Date of Birth *
MM
/
DD
/
YYYY
Please list any medical conditions and medication if applicable *
Child's Address *
Emergency Contact Name *
Relationship to Child *
Emergency Contact Telephone Number *
Do you consent to photographs and/or videos being taken of your child? These will not be placed on social media. *
Are you happy to be contacted about next year's Holiday Bible Club? *
If so, please provide an email address
"I give my permission for the above child to attend Trinity Holiday Bible Club 2022." Please enter your name below to confirm. Thank you. *
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