Masterbuilders Baltinglass

The Hub, Main Street, Baltinglass
Friday 3 January, 2.30-4.00pm

This club is suitable for those in 1st Class to 6th Class. Children will listen to a visualised Bible story and are invited to free build (no instructions) on that theme. The club is supervised by Garda vetted leaders, some of whom are also passionate Lego builders.
Please register below if you have never been to the club before.

Parent/Guardian's Name*

First NameLast Name

Where do you live?

Town, townland or local housing estate

Email*

Confirmation Emailexample@example.com

Mobile Number*

Emergency contact number, if parent is unavailable*

Child Details

	Name	Age
Child 1
Child 2
Child 3

Have you any other information about your child’s health, social or learning abilities which you think we should know?

I give permission for my data to be stored by The Faith Mission for notification of relevant future events.

Consent

View the Faith Mission privacy & data policy here

In the event of illness or accident, I give permission for first aid to be administered where considered necessary by a trained first aider, if available, or medical treatment to be administered by a suitable qualified medical practitioner.

If I cannot be contacted and my child should require emergency hospital treatment, I authorise an adult leader to sign on my behalf any written form of consent required by the hospital. However I understand that every effort will be made to contact me as soon as possible.

Consent to first aid and emergency treatment

Consent

Signature of parent/guardian

Registration & Consent Details