Kids Club sign up 25-26

Kids Club 2025-26 sign up

This is a consent form for Kids Club at Ballysally Presbyterian Church from Sept 2025-June 2026. Kids Club runs on Thursday nights for all children in P2-P7 from 6:30-7:30pm.
Child's Name*

First NameLast Name
Child's date of birth*

DayMonthYear
Class your child is in*
Child's address*

Street Address

Town

Post Code
Parent/ Carer's Name*

First NameLast Name
Relationship to child*
Parent/ Carer's phone number*
undefinedFormat: +440000000000.
Parent/ Carer's email*
example@example.com
Second contact's name*

First NameLast Name
Second contact's phone number*
undefinedFormat: +440000000000.
Relationship to child*
Does your child have permission to walk home alone when Kids Club is over?*

Yes, my child has permission to walk home aloneNo, my child does not have permission to walk home alone
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 child.
Please include details of any additional needs your child 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 childNo, photos and videos may not be taken of my child
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 Kids' Club at Ballysally Presbyterian Church during the 2025-26 school year.
Please sign name above
Should be Empty:

Kids Club 2025-26 sign up