Weekly Holiday Bible Club Registration form

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Every Friday, starting Friday 4th November, 6:30pm to 7:30pm. Ages 4-10.

Please use this form to register your child for our weekly Holiday Bible Club. If you need to register more than 1 child, please fill in the form again once completed.

https://keynshamelim.com/hbc

Email *

Option 1

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Your child's first name *

Your child's last name *

Your child's date of birth *

YYYY

Your child's gender *

Male

Female

Your child's parent/carer's first name *

Your child's parent/carer's last name *

Your child's parent/carer's contact telephone number *

Child's full home address *

Does your child have any medical requirements? *

Yes

If your child has medial requirements, please specify the details below

Flashing lights and use of smoke will be used during the children's main event. I will contact a member of staff if this is an issue for my child. *

I accept

I do not accept

Photos & videos will be taken for archive & promotional purposes *

I accept

I do not accept

I would like to be notified when there is another Holiday Bible Club in the future, and I would like to receive emails about other children's events from Keynsham Elim Church. I understand I can unsubscribe anytime *

Subscribe me to Holiday Bible Club marketing emails

Do not subscribe me

I agree to receive emails from Keynsham Elim Church about church activities and news. I understand I can unsubscribe anytime *

Subscribe me to Keynsham Elim Church marketing emails

Do not subscribe me

A copy of your responses will be emailed to the address you provided.

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