New Street Baptist Chapel | 28- 30 October | 2.00PM - 4.30PM

28, 29 and 30th October (TUES, WED, THURS) • 2pm to 4.30pm | Please complete this form to register your children for our FREE Holiday Bible Club.
All young people 4+ are welcome to attend!

Child's Name

Child's Age

Please select one option.

4 5 6 7 8 9 10 11 12+

Parent/Carer Email

This address will receive a confirmation email

Parent/Carer Phone

My Young Person Would like To Attend On

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Tuesday Wednesday Thursday

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

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

Permissions

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 give permission for my young person to be transported from my home (or other address listed) to the church and back again

Please select all that apply.

Yes No lift needed

Parent/Carer Digital Signature

Description

28, 29 and 30th October (TUES, WED, THURS) • 2pm to 4.30pm

Please complete this form to register your children for our FREE Holiday Bible Club.
All young people 4+ are welcome to attend!

New Street Baptist Chapel | 28- 30 October | 2.00PM - 4.30PM

Description

Please Fix the Following