St Matthew's Church  Holiday Club 2019
Thursday 25th and Friday 26th July   9.30am to 2.45pm   FREE

Sign in to Google to save your progress. Learn more
Child's Full Name *
Date of birth  (dd/mm/yyyy) *
School Year (as of July 2019) *
School (as of July 2019) *
Known allergies/medical conditions
Parents/Guardians Names *
Phone Number *
Email *
GP's Name and Address
Emergency Contact *
Others who may collect children
Please provide any other additional information
We heard about Holiday Club from
Clear selection
I give my permission for child's photograph to be taken and used (without names)  if appropriate *
Please keep me informed about future church events/news *
Required
I prefer to be contacted by *
You can remove your details from our mailing list by clicking on the unsubscribe link at the bottom of our emails.  
To update your details register on our website or contact office@stmatthews.uk.net or 01223 363545
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy