Flemington & Cambuslang Parish Holiday Club

Cambuslang Holiday Club Registration Form

5th - 6th August, 09:30-16:30, Flemington Hallside & Cambuslang Parish Holiday Club with Cambuslang and Rutherglen Christian Reachout Trust. Being held in Cambuslang Parish Church.
Childs Name

First NameLast Name
Date of Birth

DayMonthYear
Child's Gender
School Year (2025-2026)
Child's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please give the name of up to 2 friends your child would like to be in a group with (where possible we try to accommodate but it is best to keep children in primary year groups)
Does your child have any medical conditions
If yes please give details below
Does your child have any allergies
If yes please give details below
Does your child have any dietary requirements
If Yes please give details below
Doctor's Name

First NameLast Name
Doctor's Address
Doctor's Number

Area CodePhone Number
Parent/Guardian's Name

First NameLast Name
Parent/Guardian's Main Contact Number

Area CodePhone Number
Parent/Guardian's Email
example@example.com
Emergency Contact Name and Relationship to Child

Full NameRelationship to Child
Emergency Contact Number

Area CodePhone Number
My child is under 16 and I give consent for their photo/video to be used for publicity purposes.
I am happy to receive information about future events which may suit my child
Please check "Yes" if the child can go home unaccompanied at the end of each session
We are considering setting up a parents WhatsApp group to allow us to send reminders before holiday clubs.
This would be a group where only the admin can put information to minimise chatter.
If this is something you would be happy to be part of please add the mobile you would like us to use below.
Mobile Number
Parent/Guardian's Consent

By submitting this form I give permission for my child to attend this holiday club at Cambuslang Parish Church on 5th & 6th August. I confirm that the details are correct and complete to the best of my knowledge. In the event of illness or accident, I give permission 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, including anaesthetic, if necessary. I understand that every effort will be made to contact me as soon as possible.
We promise to look after your data in accordance with General Data Protection Regulation.
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Cambuslang Holiday Club Registration Form