Monday Club 2023-24

Name of child*

Monday Club is for those in p2-7 and meets in Kinmylies Church on Monday nights from 6-7pm. It is run under Church of Scotland policies and in partnership with the Westside Youth Project. Each week there is a mix of games and crafts and a story from the Bible. Fill in the form below to register your child (note: pre registering is essential- don't just turn up on the night as we have a limited number of spaces and don't want anyone to be disappointed!) If you have any questions, contact Anne Gunn on 07770720601 or anne@westsideyouthproject.co.uk

Date of birth*

dd/mm/yy

Address*

Class*

Any additional needs, allergies or medical conditions of which we should be aware?

Name of parent/carer*

Phone number of parent/carer*

E-mail of parent/carer

Alternative contact name (in case of emergencies)*

Alternative contact number*

I give permission for Kinmylies Church to contact me about future events. (Data will be stored securely and not passed on to any other parties. Our full data protection policy is available on the church website: www.kinmylies.co.uk/dataprotection.htm)*

YesNo

I give permission for photos and videos to be taken and displayed within the church and on the church Facebook page or YouTube channel. I give permission for photos and videos to be shared with our partners in Westside Youth Project for publicity purposes.*

YesNoDisplayed within the church but not online

I give permission for my child to take part in activities as outlined above. In an emergency and/or I cannot be contacted, I am willing for my child to receive necessary hospital or dental treatment including an anaesthetic.

Signature

Monday Club 2025-26