Blackford Church Holiday Club Form (February 2026)

Blackford Church Holiday Club - Thursday 12th February

This February we have recruited a team to run a Holiday Club on the Thursday of "mid-term week." We'll run for a slightly shorter time too which is 10am to 2pm meaning can still offer a packed programme of games, songs, crafts, and other activities and they'll still need to bring their own packed lunch. We'll move on from our summer theme of King David to our second King - Jesus, the King of Kings. All adult team members (aged 16+) are accredited volunteers including PVG. checks with the Church of Scotland or with SU Scotland - Gordon's employer - who are sending over one of their other staff to help.
Please complete each section of this JotForm and send it to us by clicking "submit" at the bottom of the form. This will be received and acknowledged by Gordon Roy. Please contact him on gordon.roy@outlook.com, through Facebook messenger or on 07740 373430 if you have any questions or other information to pass on that doesn't seem to fit the form.
Young Person's Name*

First NameLast Name
What school year are they in? (P1 to S6)*
Date of birth*
Name of person completing this form*

First NameLast Name
Address*
Parent/carer phone number*
Parent/carer Email
example@example.com
An additional (emergency) adult contact person and their phone number*
How will your child be collected? (more than one option can be selected)*

I, another family member or person providing childcare will collectThey can come home unaccompaniedThey can come home with neighbours or other adults
GP's name, location and phone number (If it's any help, St Margaret's Health Centre at Auchterarder is 01764 662275/662614.)*
Any known allergies, dietary or health issues or additional support needs.*
I confirm that the details are correct and complete to the best of my knowledge. In the event of illness or accident, I give permission for any necessary medical treatment to be given by the nominated first-aider. In an emergency and if I can’t be contacted, I am willing for my child to receive hospital treatment, including anaesthetic if necessary. I understand that every effort will be made to contact me as soon as possible.*

YesNo
My child is under 16 and I give consent for their photo/video to be used for publicity purposes of Ardoch and Blackford Parish Church:*

YesNo
I am happy to receive information from Ardoch and Blackford Parish Church about future events which may suit my child:*

yesnoalready agreed
Should be Empty:

Blackford Church Holiday Club - Thursday 12th February