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Holiday Club Sign up form

Please submit this completed form (one form per child) no later than Friday 15th July

 


Child's full name:*
sex:*
girl
boy
age of child:*
5 yrs
6 yrs
7yrs
8yrs
9 yrs
10 yrs
any allergies?:*
full name of Parent/Carer:*
home address:*
Parent/Carer email address:*
Parent/Carer contact number (in case of emergency):*
may we take photos of your child (for possible use on our Church website?):*
yes
no
how did you hear about the holiday club?:
type your message here:
Please enter the verification number on the right:*
one two two two six
* Required Fields