The Great Rescue - registration form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

*PLEASE NOTE: WE NO LONGER HAVE ANY SPACES IN THE GROUP FOR SCHOOL YEARS RECEPTION - YEAR 2. Please only register children in school years 3-9. Apologies for any disappointment.*
IF YOUR CHILD IS IN R-Y2 AND DIDN'T GET A PLACE IN OUR ACTIVITY DAY - then you are welcome to register them here for the film afternoon only (3.15 - 5.30pm). You can drop the child off or stay with them for the film.

The Great Rescue is an activity day taking place on Friday 29th October at St Anne's Limehouse (Commercial Road, E14 7HA). The day is for children in school years R-9 (ages 4-14) and will involve activities and games based on the book of Jonah in the Bible. The day will start at 9am and will finish at either 3.15pm or 5.30pm, depending on whether your child stays for the film.

Please fill in the details below for each child that you wish to register. If you wish to register more than one child, please complete a separate form for each one.

If you have any questions, please contact Matt by email at rescue@stanneslimehouse.org or by phone on 07800558969.

Email *

School year (years R-2 are full, except for film afternoon) *

Child's full name *

Child's gender *

Male

Female

Child's school *

If this child has any allergies, medication requirements, or dietary requirements, please provide details here

If this child has any special educational needs, please provide details here

What time will this child be collected? *

The activity day will end with a film (Finding Nemo). Children can be collected either before or after the film.

Before the film (3:15pm)

After the film (5:30pm)

Who will be collecting this child? *

You can provide more than one name if necessary.

Please provide an emergency contact name and phone number *

This person must be reachable between 9am and 5.30pm on Friday 29th October.

Please provide a contact address *

By completing this form you agree that your child may receive such emergency medical treatment as may be considered necessary by the medical authorities if we are unable to contact you or the emergency contact person whose details you have given us.

Please note that social distancing will not be in effect at the activity day.

How did you hear about this activity day?

Are you a regular member of a church?

This is not a requirement. Anyone is welcome!

Yes

Clear selection

Please give your consent, if willing, to the following:

I give permission for my child to attend St Anne’s half term holiday club. I understand that during holiday club, the children will receive teaching from the Bible and will take part in games and craft activities.

Photographs may be taken at the holiday club. I am willing for photographs of my child to be used for display or for advertising of future events.

I agree that St Anne’s Church holiday club team and staff may collect, store and use any contact information which I give so that they can inform me about future events and activities at St Anne's including future activity days.

How will you pay the fee of £3 per family? *

If you pay via the website, please include the words 'Great Rescue' and the name of the child/children you are paying for in the message box after you have made the payment.

Via the website: https://platform.nationalfundingscheme.org/NYZI01?charity=NYZI01/#_.Xod0J1NKhQI

Pay on the day (card)

Pay on the day (cash)

Any other comments?

For general information about how we use your data please see our Privacy Notice: www.stanneslimehouse.org/about/#yourprivacy. Paper copies available on request.

Thank you for taking the time to complete this form.

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