Holiday Club – Stanley Park Church

Come and join us for this year's Holiday Club

Child's Name *

First

Last

date of birth *

Home address *

What year are they at school *

If between years then the year they will be going into

Are they taking any medication? *

Please list any relevant

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

For safeguarding can you please let us know the name of the person that will be collecting the child *

First

Last

Has your child any allergies? *

Permission & Agreement *

I agree that the child listed above may attend the Holiday Bible Club at Stanley Park Church

Use of Photographs *

During the event photographs may be taken. These could be used in a number of media channels to advertise this and / or future events.