Merge
Merge is back every other week between January and Easter!

WHERE: Bloomfield Presbyterian
WHEN: 7:00 - 9:00 PM
WHO: Year 8+

Our dates for Merge this term are:

14th January
28th January

11th February
25th February

11th March
25th March

8th April

Registration will take place each night as young people enter Merge.
Please fill out one online form per young person.

We will maintain social distancing as best as possible with hand-sanitising available in each room.

If you have any questions please don't hesitate in contacting me.

Many thanks,
 
Michael
07885235497
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Name of Young Person: *
Date of Birth: *
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Parent / Guardian Name: *
Parent / Guardian Contact Number: *
Medical Condition / Emergency Details
In the event of illness or accident, having parental responsibility for the above named child, I give permission for first aid to be administered where considered necessary by a first aider, If available, or medical treatment to be administered by a suitably qualified medical practitioner.

In the event of a medical emergency, leaders will endeavour to contact you as soon as possible using the contact telephone numbers given.

I will inform the leaders of any changes to my child's health, medication or needs and also of any changes to our address or any of the phone numbers given above.
Please indicate medical conditions, additional needs, allergies or dietary requirements relevant to your young person, any medication being taken and anything else that would be helpful for the leaders to know about: *
During the time your young person will spends with us, photographs may be taken for general church purposes such as the BPC Youth Instagram Page. Do you give permission for your young person's picture to be taken and used?
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I give permission for my young person to attend Merge: *
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