Deep Sea Discovery Holiday Club Registration Form

Deep Sea Discovery Holiday Club

For Children ages 5-11.
The club will be running 17th August- 20th August, 10am-12:30pm

This is a Christian based holiday club set in the grounds of St Margaret's Church, Burnage. There will be challenges, Bible stories, crafts, games and much more!

The club is free to attend. If you would like to make a small contribution towards the costs of running the club there will be a box available for for this at the welcome desk.
Family Events During the week

The holiday club is for ages 5-11 but we also have a number of free family events going on during the week for all ages to attend together.

Tuesday 18th August, 12:30-2:30pm

Thursday 20th August, 12:30-2:30pm

Free Lunch and have some Fun

(These family events may include, campfire cooking, Woodworking workshops, family crafts, water fun or something entirely different. We will let you know nearer the time. )

Sunday 23rd August, 10:30am-11:45am

Holiday Club Celebration

Come and join us for a church service ran by the Holiday Club children. With songs, stories and challenges from the club.
Registration and consent form

To be completed by parent/ guardian
Please complete the form below to register your child for the holiday club.
Child's Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
What school year is your child leaving?
Address

Street Address

Street Address Line 2

County

Post Code
Parent/ Guardian's E-mail
Home Phone Number
Format: (00000) 000-000.
Parent/ Guardian's Mobile Number
Format: 000 0000 0000.
Alternative Contact Name and Relationship to Child (In case of emergency)
Alternative Contact number
Format: 000-0000-0000.
Does your child have any allergies? (please specify)
Does your child have any medical conditions? (please specify including medication that may need to be administered whilst at the club.)
Does your child have any additional needs? (please specify.)
Is there anything else you would like us to know about your child? (please specify.)
Arrangements for collection
Who will collect your child? (names and relationship to child)
I give permission for my child to attend and take part in Holiday Club/ kids club activities.

Parent/ guardian Date
Photograph/ Video Consent
Photographs/ video recordings of my child can be used within the church premises for display purposes.
Photographs/ video recordings of my child can be used on the church website
Photographs/ video recordings of my child can be used on the church YouTube channel.
Photographs/ video recordings of my child can be used on the St Margaret's Facebook pages.
Photographs of my child can be used in written publications which may go out to homes in the area.
I would like to be contacted about other events for children and families at St Margaret's
Data Protection information

Data Protection Act 2018: The church is registered under the Data Protection Act for holding personal data. The church has a duty to protect this information and to keep it up to date. The church is required to share some of the data with the diocese and with other bodies in accordance with the privacy notice displayed on the church website. I confirm in signing this document that I have the permission of all contacts to share their personal details.
Should be Empty:

Deep Sea Discovery Holiday Club

Registration and consent form

Photograph/ Video Consent

Data Protection information