APC 'Fit for a King' Holiday Club Registration

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The Holiday Club with be held in Auchterarder Parish Church on the mornings of Tuesday 10, Wednesday 11th and Thursday 12 August from 10.00 - 12.30 . The children in current Primary stages P1-P7 (i.e. academic session 2020-2021) are eligible to attend. Pre -Registration online will be open from Wednesday 16 June 2021. Fill in the information requested and you will be sent a confirmation email. Further information will be sent out closer to the date. We will of course be working within Scottish Government and Church of Scotland COVID-19 Guidelines as they are in August.

Email *

Name Child 1: *

Primary Class Session 2020-2021 *

Name Child 2:

Primary Class Session 2020-2021

Name Child 3:

Primary Class Session 2020-2021

Name Child 4:

Primary Class Session 2020-2021

Name of Parent/Guardian/Carer *

Address for Parent/Guardian/Carer *

Contact Email Address *

Contact telephone number: please give a mobile and a landline where possible *

Alternative emergency contact name and telephone number: please give a mobile and a landline where possible *

GP Name and Phone Number: *

Anything we need to know - e.g. allergies; health problems etc. *

Consent; *

I consent to these details being held on a database for future contact.

I consent to photographs and video footage to be taken and used on Church media

I DO NOT consent to photographs and video footage to be taken and used on Church media

I confirm that the above details are correct and complete to the best of my knowledge.

In the event of illness or accident, I give permission for any necessary medical treatment to be given by the nominated first-aider. In an emergency and if I can’t be contacted, I am willing for my child to receive hospital treatment, including anaesthetic if necessary. I understand that every effort will be made to contact me as soon as possible.

Required

Parent/Guardian/Carer should sign to indicate consent as descried above. Please sign electronically if completed online *

Please add the date of signature: *

YYYY

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

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