Holiday Club - Registration Form

Please complete this form so we have an idea of numbers and also relevant contact information.

Name of Child *

Age *

Tick which day(s) *

Monday 5th

Tuesday 6th

Wednesday 7th

Thursday 8th

All days

Name of Parent/Guardian/Carer *

Address *

Telephone Number *

Telephone (we require two numbers please!)

Email Address *

Allergies or medical history including food allergies

In the event of emergency I give permission for emergency treatment to be given *

Yes

We will be taking photos on the day, please confirm use for social media *

Yes

* Required Fields

Upcoming Events

Sunday 24th November

8:00am -

Holy Communion

10:30am -

Parish Eucharist

Tuesday 26th November

10:00am -

Holy Communion (Common Worship)