Lost at sea - CB:kids Summer Sign up
Holiday Bible Club for Primary School aged children as of September 2023. Current P7s welcome also.
Carrickfergus Baptist Church
Tuesday 27th - Friday 30th June. 6:30 - 7:45pm
Sunday 2nd July 11:00-11:45am
Free
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Child's Full Name e.g. John Smith (one child per form please)
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Child's Date of Birth
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Address
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Town
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Postcode
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Please indicate medical conditions or special needs relevant to your child, any medication being taken and anything else that would be helpful for the leaders toknow about:
Main Contact Name
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Main Contact Phone Number *
Main Contact eMail
Secondary Contact Name
Secondary Contact Phone Number
To be read and signed by a parent/guardian
I confirm the above details are correct and I give permission for my child to attend the  "Lost at sea" - CB:kids Summer. 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. In the event of a medical emergency, leaders will endeavor to contact you as soon as possible using the contact telephone numbers given.

I give permission for the leader in charge to hold contact details as a means to communicate if needed.

All information given on this form will be kept securely and only used in connection with the CB:kids.
We would love to let you see what happens at CB:kids Summer. I give permission for photographs/video to be taken of my child and be used on the church media online pages unless otherwise stated above.
Type your name to give consent to all in the above statement. *
Relationship to Child
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Thank you
Folow our pages on Facebook & Instagram for frequent updates.
If you have any queries or concerns contact David on 07834239124.
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