MESSY CHURCH HOLIDAY CLUB 2019 REGISTRATION FORM
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Email address *
COME AND JOIN US ON OUR GLOBAL ADVENTURE!
Welcome to Messy Church Holiday Club. Please fill in the registration form below and you will receive a confirmation email in due course.

The school age children will be split into two categories, science or arts and crafts. Each group will do outdoor activities for half of the session and their chosen category for the other half.

Please choose which group your child would like to join. If you have more than one child you can use the same sign up form if they have chosen the same group. Please use a different sign up forms if they are in different groups.


Who: Children aged preschool to 13
**children under age five must be accompanied by an adult**

When: Monday, July 8th - Friday, July 12th

Time: 10 AM - 12 Noon

Where: Banchory East Church

Cost: £2 per child, per day (discount for multiple children per family)

PLUS: Celebration lunch for children and adults Friday, July 12th, 12 Noon - 1:00 PM

We are looking forward to seeing you this summer!

Child's Name & Age *
if you are registering more than one child in same group, please list them all in the box below
Your answer
School year after summer *
Your answer
Primary School
Your answer
Parent/Guardian Name *
Your answer
Telephone Number *
Your answer
Email Address *
Your answer
Which group? (Please choose 1 answer) *
Which Days of the Week?
On Friday, there will be a Celebration lunch from 12-1:00 PM *
Please tell us how many adults and children will be attending (this is for an estimate of food)
Your answer
CONSENT FORM
Emergency Contact (Name & Telephone) *
Your answer
Any known allergies or conditions?
Your answer
Anything else you would like us to know?
Your answer
I confirm that the above details are complete and correct to the best of my knowledge. In the unlikely event of illness or accident I give permission for any necessary medical treatment to be given by the nominated first-aider. In an emergency and if I cannot be contacted, I am willing for my child to receive hospital treatment, including anaesthetic if necessary. I understand that every effort will be made to contact me as soon as possible. *
Please type your name in the box below to confirm your consent
Your answer
Photo Consent. Photos taken at Holiday Club may be used on the Messy Church Facebook page and/or used to advertise future events. *
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