Sunday 24th November 2024 GoMAD Xtra OOMPACOUNTDOWN
will run at the Church Centre (Lochiel Drive, G66 8ET) from 1.00pm - 3.00pm. There will be songs, crafts, challenges, games, snacks - gluten-free & lactose-free available, drama and stories. We will be on an ADVENT-ure towards Christmas.
Name of child
*
First Name
Last Name
Child's date of birth
*
-
Day
-
Month
Year
Date
School year the child is currently in
*
Pre-school
P1
P2
P3
P4
P5
P6
P7
S1 or above
Child's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of parent/carer
*
First Name
Last Name
Email of parent/carer
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Name of emergency contact (this should be DIFFERENT from name above)
*
First Name
Last Name
Phone Number of emergency contact (this should be DIFFERENT from number above)
*
-
Area Code
Phone Number
Any known allergies or medical information (please give details by emailing, confidentially, JMoody@churchofscotland.org.uk)
*
yes
no
In the event of a medical emergency, if we are unable to contact you or your emergency contact, do you give permission for the organisers to make decisions on your behalf?
*
Yes
No
Can your child leave at the end without an adult collecting them?
*
Yes
No
Do you give permission for face paints to be used on your child?
*
Yes
No
Do you give permission for photographs to be used for 'in-church' publicity?
*
Yes
No
Do you give permission for your contact data to be stored for the sole purpose of receiving information about future GoMAD events? We will comply with all current GDPR legislation.
*
Yes
No
Signature of parent/guardian. I hereby give permission for my child to participate in the normal activities of this event.
*
All team members are fully PVG checked. Please do NOT attend or send your child if you/they have any COVID symptoms or are feeling unwell.
Submit
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