JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Landlubbers Holiday Club
Please fill in the following details to register your child for Landlubbers Holiday Club at Kinver Methodist Church.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Name
*
Your answer
Child’s Date of Birth
*
MM
/
DD
/
YYYY
Emergency Contact Details (name, relationship to child, telephone number and email address):
*
Your answer
Is there anything we need to know about your child to keep them safe? (eg allergies, medical conditions etc.)
*
Your answer
We may wish to take photographs at holiday club to use in church and on our website. Do we have your permission to do this?
*
Yes
No
Are you happy for us to contact you about other children’s events at church?
*
Yes
No
Is there any further information which would be helpful for us to know?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report