Breck Road | Holiday Bible Club | Autumn 2026

Wed, Thurs, Fri | 28 – 30 October | HOLIDAY BIBLE CLUB
Wed, Thurs, Fri | 28 – 30 October
6pm to 8.30pm

Lifts are provided should you make that selection.
All workers are DBS checked.
Young people may arrive home later than 8.30pm due to number of young people requiring a lift. Contact Rosie at 07783625333 for questions.

Child's Name

Child's Age

Please select one option.

4 5 6 7 8 9 10 11 12+ Older Teen Helper (must have already talked to Pastor Klemen about this privilege and met the criteria to be a teen helper)

Parent/Carer Email

This address will receive a confirmation email

Parent/Carer Phone

Address

If available in my postcode, I would like my young person to receive free transportation for the event.

Please select all that apply.

Yes No

My child will be attending

Please select all that apply.

Wednesday Thursday Friday

MAJOR allergies/medical conditions (minor conditions that will not hinder their participation in simple activities are not necessary).

I consent to photographs being taken in group settings solely for the purpose of sharing on the church social media platforms and materials for me (the parent/carer) to share with friends and family. These images are never sold.

Please select all that apply.

Yes No

I understand that my young person will need transportation from their collection point to the church (and back again).

Please select all that apply.

Yes

Parent/Carer Digital Signature

Description

Wed, Thurs, Fri | 28 – 30 October

HOLIDAY BIBLE CLUB
Wed, Thurs, Fri | 28 – 30 October
6pm to 8.30pm

Lifts are provided should you make that selection.
All workers are DBS checked.
Young people may arrive home later than 8.30pm due to number of young people requiring a lift. Contact Rosie at 07783625333 for questions.

Breck Road | Holiday Bible Club | Autumn 2026

Description

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