Holiday Club: Treasure Quest Holiday Club: Registration Form
17th-21st July, 10am-12pm at Drumfork Community Centre G84 9HN
Child's Details
Child's Name
*
First Name
Last Name
Sex
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
School Year August 2023
*
Please Select
P1
P2
P3
P4
P5
P6
P7
School Attending
*
Emergency Contact Name
*
Emergency Contact Number
*
Child can be collected by:
*
Child can go home unaccompanied at end of day
*
Yes
No
Medical Details
GP Name
*
GP Number
*
Does your child have any dietary requirements/food allergies
*
Yes
No
If yes then please specify
*
Any other allergies?
*
Yes
No
If yes then please specify
*
Any other known health issues?
*
Yes
No
Any Additional Support Needs?
*
Yes
No
Parental Consent
I confirm that these details are correct and complete to the best of my knowledge. In the event of any illness, or accident, I give consent for any necessary medical treatment to be given by the nominated first-aider. In an emergency, and if I can't be contacted, I am willing for my child to receive hospital treatment if necessary. I understand that every effort will be made to contact me as soon as possible.
I have read and understood the above consent
*
Yes
No
Parent/Guardian Details
Name
*
Mr.
Mrs.
Ms.
Prefix
First Name
Last Name
Email
*
example@example.com
Contact Number
*
I give consent for my child to have their picture/video taken and be used for publicity purposes
*
Yes
No
Privacy
All data is stored in accordance with GDPR legislation. For information on policies please contact us. Hope Community Church is a part of Glasgow City Free Church. Glasgow City Free Church is a congregation of the Free Church of Scotland, and is a Scottish Charity, SC009980, regulated by the Scottish Charity Regulator (OSCR)
Please verify that you are human
*
Submit
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