Edengrove Summer Bible Club Registration 2022

Journey to Kings Cross
June 13-17, 6:30-8:00pm
Please fill out a separate form for each child who will be attending
All information on this form will be held in confidence. These details are required in order to meet the specific needs of your child. (Copies of our privacy notice and data protection policy are available on request.)
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Child's Name: *
I give permission for my child to attend the “Journey to Kings Cross” Summer Bible Club at the halls of Edengrove Presbyterian Church and to participate in all the week’s activities *
Required
What Class is your child in *
What T-shirt size would best fit your child?(Please note this is to give us a rough idea of the quantities of T-shirts we need to order-your child may receive a larger shirt than you indicate below, depending on numbers and availability)
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Date of Birth: *
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DD
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YYYY
Home Address and Postcode *
Home phone number *
Mobile number *
If unavailable please contact (Please give name/relationship to child/contact number. Example: Harry McHarrison/grandfather/01234567890): *
Name of child's doctor
Doctor's phone number
Any known medical conditions/medications
Other special needs/important information
-I will inform the leaders of any important changes to my child’s health, medication or needs, and of any changes to the addresses and phone numbers listed above. *
Required
In the event of illness or accident, having personal responsibility for the above named child, I give permission for first aid to be administered where considered necessary by a trained first aider, if available, or medical treatment to be administered by a suitably qualified medical practitioner. If I cannot be contacted and my child should require emergency hospital treatment, I authorize an adult leader to sign on my behalf any written form of consent required by the hospital. However, I understand that every effort will be made to contact me as soon as possible. *
Required
If your child will walk/cycle to and from the club, and you wish them to be able to enter/exit without being signed in/out by an adult, please tick the box below. (We will also need verbal confirmation of this and will contact you by phone to verify your consent) *
Required
During the Holiday Bible Club photographs may be taken for the daily recap -where the children get to see photos taken the previous night. Some photos may also be shown in the church service at the end of the week. Please tick the box below to indicate you give permission for your child's photo to be taken. (If permission is not granted we will contact you in advance to make arrangements) *
Required
By 'signing' below I confirm that I have read all the above information and all details are correct to the best of my knowledge *
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