Homework Club P5-P6 sign up 24/25

Homework Club P5 and P6 Sign Up 2024

This is a consent form for Homework Club at Ballysally Presbyterian Church from Feb 2024- April 2024. It is for all those in P5 and P6.
Child's Name*

First NameLast Name
Child's date of birth*

DayMonthYear
Child's address*

Street Address

Town

Post Code
Child's Class in school*
Parent/ Carer's Name*

First NameLast Name
Relationship to Child*
Parent / Carer's phone number*
undefined
Parent/ Carer's email*
example@example.com
Second contact's name*

First NameLast Name
Second contact's phone number*
undefined
Relationship to child*
Doctor's Details (Name and health centre)*
Any relevant medical details
Please indicate any medical conditions, medications being taken, or allergies that are relevant to your young person.
Please include details of any additional needs your young person has, or any extra support required to help us care for them well.
During the time your child will spend with us, photographs and videos may be taken for general church purposes and use on social media. Please indicate below if you give permission for photographs and videos to be taken of your child.*

Yes, photos and videos may be taken of my young personNo, photos and videos may not be taken of my young person
I have filled out the information on this consent form to the best of my ability, and give consent for my child to participate in homework club at Ballysally Presbyterian Church during the 2024-25 school year.
Please sign name above
Should be Empty:

Homework Club P5 and P6 Sign Up 2024