KBC Summer Kids Club 2025 Consent Form

Summer Kids Club 2025 Registration

To be completed by the child's parent /guardian.
Hello,

We look forward to welcoming your child to our Summer Kids Club in the TMAC Centre Keady, 21st - 25th July 2025, 11:30am - 2pm.

P1 - P7.

Children must have already started Primary School in order to attend. Those who have just completed P7 are also very welcome.

This is a free event with lunch provided each day.

Please complete one form per child.

We anticipate high numbers attending. If at a later stage your child can no longer attend, please contact us via our website or FB page, so we can enable others to attend. Thank you.

If you have any difficulty completing the form, please contact us via our Facebook page or website.

YOU MUST CLICK SUBMIT AT THE END OF THIS FORM TO ENSURE YOUR FORM IS RECIEVED.

Parent/Guardian Information
Name*

First NameLast Name
Relationship to the child.
Home Number
Mobile Number*
Mobile Number*
Emergency Information
Emergency Contact*

First NameLast Name
Relationship to the child.
Emergency Contact Number*
Emergency Contact Number*
Please enter a valid phone number.
Medical Information

The information you provide will be used to help keep your child safe and well during the club. In an emerency, it will be shared with the trained first aider and/or medical staff.
Does the child have any allergies, chronic illness, or medical conditions? If yes, please list and describe. If not, type 'none'.*
Additional Need or Support

This information will only be seen by club leaders and used to plan activities. In the case of emergency or injury, medical staff will also be informed.
Please give details of any additional need or support required. If not, type 'none'.*

Consent and Acknowledgement

I have read all the above and give my approval for my child’s participation in activities prepared by Keady Baptist Church during their Summer Kids Club.

Any information on this form will be held in confidence. The leaders need to know these details in order to meet the specific needs of your child. We do not share your information with third parties unless the law requires us to do so. You have the right to request access to/removal of your personal data that we hold. Data on this form will only be held for the purposes of the above named event.
Confirmation

By completing this form and signing below, you agree to accept the above information and confirm that the above details are correct and you give permission for the above named child to attend 'Keady Baptist Church Summer Kid's Club' on 24th - 28th July 2023. You also accept that the electroic signature will be as equally binding as a manual one.
Date*

DayMonthYear
Date
Signature*

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Summer Kids Club 2025 Registration