Landlubbers Holiday Club
Fill out the form carefully to book a place
When: 5-8th Aug
Time: 10.30am-12.30am
Location: Chryston Parish Church
About Child
Please fill in all details
Child Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Childs School Year June 2025
*
Please Select
P1
P2
P3
P4
P5
P6
P7
Gender
Please Select
Male
Female
N/A
Health or Additional Support Needs
*
Please Select
Yes
No
Dietary Requirements (Including food allergies)
*
Please Select
Yes
No
Please give brief details of health, additional support needs or dietray requirements-we may contact you for more information so that we can provide the best experience for your child.
Will Your Child be collected each day from the holiday club
*
Please Select
Collected
Make own way home
About parent / guardian
Please fill in all details
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Region
Pose Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
I am happy for my child to participate in the activities of the Holiday Club understanding they will be under the supervision of Volunteer Children's Worker (Police Checked) at all times.
*
Yes
I consent to my child involvement in church activities being photographed or video and for these images to be displayed with the church premises.
*
Yes
No
Would you like to be informed of future events like this?
*
Yes
No
Submit
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