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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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* Indicates required question
Name of Child
*
Your answer
Child's age
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Please list any medical conditions and medication if applicable
*
Your answer
Child's Address
*
Your answer
Emergency Contact Name
*
Your answer
Relationship to Child
*
Your answer
Emergency Contact Telephone Number
*
Your answer
Do you consent to photographs and/or videos being taken of your child? These will not be placed on social media.
*
Yes
No
Are you happy to be contacted about next year's Holiday Bible Club?
*
Yes
No
If so, please provide an email address
Your answer
"I give my permission for the above child to attend Trinity Holiday Bible Club 2022." Please enter your name below to confirm. Thank you.
*
Your answer
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