Holiday Club Registration 2024 - Waiting List • Christchurch Baldock

Christchurch Baldock Holiday Club 2024 Registration Form

Child Details

First Name *

Last Name *

Gender *

Date of Birth *

Finishing school year *

School

People who may collect this child *

Friends also coming to holiday club

Parent/Guardian's Details

Name of person completing this form *

Relationship to child *

Email address *

Phone number *

Home address *

Home address line 2

Home city *

Home county

Home postcode *

Emergency/Medical Details

Emergency Contact Details *

Allergies/Medical

Additional Needs and Medical Notes

Parental Consent

I give permission for my child to attend Christchurch Baldock Holiday Club 2024

Attendance Consent *

Yes

If it becomes necessary for my child to be given urgent medical treatment whilst under the care of Christchurch leaders and I cannot be contacted by telephone or any other means to authorise this, I hereby give my general consent to any medical treatment judged to be necessary and urgent by a medical practitioner and I authorise the leaders in charge to sign any document required by a hospital or other authorities.

Medical Consent *

Yes

I give permission for Christchurch to use a photo of my child within a group setting for publicity purposes (e.g church website/newsletter).

Photo Consent *

Yes

How did you hear about holiday club? *

Would you like to hear about future Holiday Clubs and other relevant events? *

Yes, Please

No, Thanks

The information you have provided with be used in accordance with our data protection policy. You can read our privacy notice here: https://cc-b.uk/privacy