Holiday Bible Club Child Registration Form
Child's Name
*
First Name
Last Name
Are you registering a boy or a girl?
*
Please Select
Boy
Girl
Child's Age
*
4
5
6
7
8
9
10
11
Parent/Guardian Name
*
Prefix
First Name
Last Name
Address and Postcode
*
Street Address
Street Address Line 2
City/Town
County
Post Code
Contact Email Address
*
example@example.com
Contact number
*
Please state any medical conditions your child has
Please list any allergies your child has
Please list any other information about your child you think we need to know
In the Sunday morning service we show a slideshow of photos showing what the children have been doing during the week (this is not live-streamed and does not go anywhere on social media), please let us know if you would prefer for your child NOT to be included in those photos.
Submit Form
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