Holiday Club 2018
Registration form
Child's full name *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Gender *
Parent/Guardian's full name *
Your answer
Contact number (mobile preferred) *
Your answer
Address *
Your answer
Email address *
Your answer
Any allergies/dietary requirements/medication/special needs or anything else we need to be aware of
Your answer
Alternative name & phone contact details - NB this person will only be contacted if we are unable to reach you in an emergency *
Your answer
How did you hear about the holiday club? *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of South Chingford Congregational Church. Report Abuse - Terms of Service - Additional Terms