Movie Night Registration

Movie Night Registration

Register unaccompanied children for the film and quiz night at Kinmylies Church at 6pm on Friday 3rd April. No registration required to attend with an adult.
Child's Full Name*

First NameLast Name
Class (p4 or above)*
Parent or Carer's Full Name*

First NameLast Name
Parent or Carer's Telephone Number*
Parent or Carer's Email Address
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Telephone Number
Additional Support Needs, Allergies or Relevant Medical Information (if any)
I will pick them up at 7.45pm straight after the film.I will pick them up at 8.15pm after the quiz.I give them permission to walk home on their own at 7.45pm straight after the film.I give them permission to walk home on their own at 8.15pm after the quiz.
Signature*

Clear
Information will be stored in accordance with the GDPR policy of Kinmylies Church of Scotland and will be deleted after the event.
Should be Empty: