Holiday Club Child Registration

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Join us for a MEGA QUEST this Easter 

from Monday 1st April to Friday 5th April 2019

as we discover just how amazing God's BIG plan for the world is!

10am-12.30pm
Hebron Evangelical Church, Summer Street

All children in Primary 1 to Primary 7 are welcome to join us at Holiday Club. 
Please fill in details below to help us look after your child safely while they are in our care (one child per form):

Child Surname
Child First Name

Child's Year at School:  Child's Date of Birth (dd/mm/yy): 

Details of any allergies or medical issues we should be aware of:

Are there any days you know this child won't be attending the club:


Parent/Guardian Name

Street Address:    
                            
Town: 
Postcode: 
Email address: 

Contact Telephone Number (for while club is running): 
Second Contact in case of emergency:
Name  Tel 

Please view our Privacy Policy and complete this privacy consent section: 

  • I consent to these details being stored and used by Hebron Evangelical Church on behalf of the Holiday Club organisers for the purpose of running the club:    Yes   No
  • I consent to these details being stored and used by Hebron Evangelical Church on behalf of the Holiday Club organisers to inform me of future Clubs:    Yes   No
  • I give permission for my child to be photographed during club activities:    Yes    No

(Photos may be used during the club, on a closed Facebook group, or for future publicity)