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Summer Holiday Club registration form 2019

Welcome to our Summer Holiday Club

24th 25th 26th JULY

SORRY BUT WE ARE NOW FULL

please complete the registration form if you would like to join the waiting list. We will let you know if more spaces become available. 

Please contact Barbara on 07928 277 715


full name of child:*
sex:*
girl
boy
age of child:*
5 yrs
6 yrs
7 yrs
8 yrs
9 yrs
10 yrs
any allergies:*
name of Parent/Carer:*
home address incl postcode:*
email address of Parent/Carer:*
Parent/Carer contact number (in case of emergency):*
may we use photos and/or video of your child on our Church website?:*
yes
no
how did you hear about the Holiday Club?:*
Church website
Church flyer
word of mouth
Messy Church
other
would you like to send a message?:
Please enter the verification number on the right:*
nine seven eight three two
* Required Fields