Kings Club Midweek & Saturdays Registration Form
Wednesday evenings 6.30-7.30pm and selected Saturdays - 10-11.30am. Please use this form to register your whole family.
Info re child(ren) - Name, Age, Primary Class & School attended for each registered
*
Will your child(ren) be attending?
*
Midweek King's Club
Saturday King's Club
Both
Guardian's Name
*
First Name
Last Name
Home Address (inc postcode)
*
Guardian's Phone Number
*
Guardian's Email Address
*
example@example.com
Emergency Contact Name
*
Emergency Contact Number
*
Does/do your child(ren) have any allergies or medical conditions that we should be aware of?
*
Yes
No
If yes, please give us more information:
Does/do your child(ren) have any additional support needs that we should be aware of?
*
Yes
No
If yes, please give us more information:
I give permission for my child to attend King's Club at Cartsbridge Church.
*
Yes
Photos and videos of children and activities at King's Club may be taken and shared on our church Facebook page - please indicate that you have read and understood this by checking the box.
*
I understand and give permission for my child's image to be used in Cartsbridge Church social media.
I give permission for any necessary medical treatment to be given by the named First Aider.
*
Yes
I consent to Cartsbridge Church holding this information and contacting me as required with regards to King's Club activities.
*
Yes
Name of Guardian completing form
*
First Name
Last Name
Signature
*
Date
*
-
Day
-
Month
Year
Date
Continue
Continue
Should be Empty: