Registration form for Holiday Bible Club 2017



     "GO GLOBAL" REGISTRATION FORM (Holiday Bible Club 2017)

     Monday 10th April - Thursday 13th April

10.00am - 12.30pm

     Queens Road Centre of Keynsham Methodist Church


PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD                                                                                      your child must be attending full time school, in year R, or Year 1-6.

Child's Full Name:*
Date of Birth:*
School Year :*
School attending:*
Parent/Guardian Full Name:*
email address:*
Contact phone number:*
Second contact number (for emergency use):*
I give permission for my child's photograph to be taken during the club. (These will only be used for church purposes, and may include the church magazine and any press release):*
I give permission for my child's and my details to be entered on the church database (these will not be shared with anyone else).:*
PLEASE REGISTER MY CHILD FOR "GO GLOBAL" holiday club. Parent/Guardian signature.:*
Please enter any additional information about your child, that would be helpful to know. e.g. allergies, additional needs. or enter 'none'.:*
Please enter the verification number on the right:*
Five Free Too Five Six
* Required Fields