Megg's Café Summer Club 1st-5th July 2019 Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Registration for Megg's Café and/or Make A Meal Of It

Child's Full Name *

Male/Female *

Male

Female

Club Registered For (Tick one or both options) *

Megg's Cafe (10-12pm)

Make A Meal Of It (12-1pm)

Required

Date of birth *

YYYY

School Year (Starting in August) *

Parent's Full Name *

Address *

Email *

Phone number *

Emergency Contact Name (in case we cannot contact you) *

Emergency Contact Number *

GP's Name & Surgery *

GP's Contact Number *

Any known allergies or conditions *

Photographs of the children may be taken during our Megg’s Café activities to show during our Sunday Family Celebration. Please indicate here if you are willing for your child to be photographed for this purpose. Photography is not allowed during Make a Meal Of It. I give permission for my child to be photographed at Megg’s Kitchen *

Yes

My child may go home on his/her own after the club *

Yes

I CONFIRM THAT THE ABOVE DETAILS ARE COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE. In the unlikely event of illness or accident, I give permission for any appropriate first aid to be given by the nominated first-aider. In an emergency, and if I cannot be contacted, I am willing for my child to be given hospital treatment, including anaesthetic if necessary. I understand that every effort will be made to contact me as soon as possible. *

Yes

By submitting this form you agree to your details being made accessible to the Megg’s Kitchen & Make A Meal Of It leaders for emergency use only. We would also like to keep your contact details to let you know of other future events for children & families. We will never give them to anyone else. Please tick this box if you are happy for us to do this. You can request for your details to be removed at any time by contacting Phil Tatlow via the contact form on the Ardrossan Church of the Nazarene website or on 07709 900714

I am happy for you to keep my details for advertising future events for children & families

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

Forms