Film Afternoon - 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) *

Wednesday 14th February

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 21st April

8:00 am -

Holy Communion

10:30 am -

Parish Eucharist

Tuesday 23rd April

10:00 am -

Holy Communion (Common Worship)