Holiday Bible Club Summer 2022 Registration form
Monday 25-27th July, 10am to 12:30. Ages 4-10.

Please use this form to register your child for the Holiday Bible Club. If you need to register more than 1 child, please fill in the form again once completed.

https://keynshamelim.com/hbc
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Email *
Your child's first name *
Your child's last name *
Your child's date of birth *
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Your child's gender *
Your child's parent/carer's first name *
Your child's parent/carer's last name *
Your child's parent/carer's contact telephone number *
Child's full home address *
Does your child have any medical requirements? *
If your child has medial requirements, please specify the details below
Flashing lights and use of smoke will be used during the children's main event. I will contact a member of staff if this is an issue for my child. *
Photos & videos will be taken for archive & promotional purposes *
I would like to be notified when there is another Holiday Bible Club in the future, and I would like to receive emails about other children's events from Keynsham Elim Church. I understand I can unsubscribe anytime *
I agree to receive emails from Keynsham Elim Church about church activities and news. I understand I can unsubscribe anytime *
A copy of your responses will be emailed to the address you provided.
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