JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration Form
Banbridge Independent Methodist Church Holiday Bible Club 2023
MISSION : POSSIBLE
MONDAY 7TH AUGUST - FRIDAY 11TH AUGUST 2023
11am - 12:30pm
Peggy's Loaning
Huntly Road
Banbridge
BT32 3BE
Carey Killops - 07766478110
http://banbridgeindependentmethodistchurch.co.uk/
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name(s) of child/children attending
*
Your answer
Date of Birth
*
Your answer
Age of Child/Children attending (years)
*
Your answer
Address (with postcode)
*
Your answer
Name of Parent/Guardian
*
Your answer
Relationship to Child/Children
Your answer
Contact Number
*
Your answer
Allergies / Any medical conditions
*
Yes
No
If you answered yes above please state below
Your answer
Name of GP
Your answer
Contact number for GP
Your answer
We collect information above solely for the organisation risk management and safety of our church activities. Your child's data will be stored securely by B.I.M.C. and will only be accessed by the appropriate persons.
In order to ensure the safety of your child while under our care we require your agreement/consent to the following:
*
I give consent for my child's data to be stored securely for medical, safeguarding and emergency purposes.
In the event of an illness or accident, I, having parental responsibility for the above child, I give consent for the application of first aid or medical treatment by appropriate persons.
I take responsibility for transporting my child to and from Peggy's Loaning and the Scarva Road Estates at the appropriate times.
Required
Date
*
MM
/
DD
/
YYYY
Signature
*
Your answer
I give consent to be kept informed about our children's ministry in B.I.M.C.
*
Yes
No
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
