Little Steps Registration

Little Steps Registration Form
Child's Name:*

First NameLast Name
Birth Date:*

DayMonthYear
Age at time of Registration:*
Child’s Special Needs / Allergies / Concerns:
Parent/Carer:*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number*
E-mail:*
Relationship to Child:*
I understand that I will be responsible for my child, named above, and will not leave him/her unattended.
I agree to my contact details being retained on a database for Little Steps and St John’s Colinton Mains Church use only
Little Steps Baby & Toddler Group has a closed Facebook group solely for the use of the Little Steps Team and parents/carers who bring their children along on a Wednesday morning. We would really encourage you to join this group as this will enable us to keep you up to date with any forthcoming events and/or any other important information we wish to share.

As it will be a private group, only those parents/carers who are registered with us will have access to the page. We would be grateful if you would give your permission for us to occasionally share photographs and videos within this group. Photographs/video clips will not be shared on any other website or social media platform
Please select your preference for the use of photographs:*

I give permissionn for any photographs/video clips which may feature my child to be uploaded to the Little Steps Facebook page.I do not give permission for any photographs/video clips which may feature my child to be uploaded to the Little Steps Facebook page.
Signature*
Date*

DayMonthYear
Date
Once we have confirmed your registration with Little Steps, you will receive further information regarding our Privacy Policy and how you can join our Facebook group.

Thank you for taking the time to complete this form.
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Little Steps Registration Form