Christmas Holiday Club Sign up
Wilmington Christian Fellowship
Friday 21st December 2018
10am - 2pm

You can sign up a maximum of 3 children per form. To register more please complete 2 forms! Thank You

Child's Forename *
Your answer
Child's Surname *
Your answer
Child's D.O.B (dd/mm/yyyy)
Your answer
Child's School Year *
Current School child attends *
Your answer
Please specify any health or behavioural conditions we need to be aware of *
Your answer
Child's Forename - Second Child
Your answer
Child's Surname - Second Child
Your answer
Child's D.O.B (dd/mm/yyyy) - Second Child
Your answer
Child's School Year - Second Child
Current School child attends - second child
Your answer
Please specify any health or behavioural conditions we need to be aware of - Second Child
Your answer
Child's Forename - Third Child
Your answer
Child's Surname - Third Child
Your answer
Child's D.O.B (dd/mm/yyyy) - Third Child
Your answer
Child's School Year - Third Child
Current School child attends - third child
Your answer
Please specify any health or behavioural conditions we need to be aware of - Third Child
Your answer
Parent/Guardian Home Address *
Your answer
Parent/Guardian Contact Name *
Your answer
Parent/Guardian Contact Home Number *
Your answer
Parent/Guardian Contact Mobile Number *
Your answer
Parent/Guardian Email Address *
Your answer
Any Other relevant Information
Your answer
Please select if you do NOT want us to take any photos of your child(ren) for our church displays and/or social media posts.
Please tick to confirm that you are happy for us to store this information in line with current GDPR guidelines. *
Required
Parental Signature - Please leave blank and sign upon arrival
Your answer
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