Summer Club 2026 Child Registration

Summer Club 2026 Child Registration
- Morning club for those going into P2 - P5 Wed 13 - Fri 15 Aug, 10:00am - 12noon
- Evening club for those going into P5 - S1 Mon 11 - Fri 15 Aug, 6:15 - 8:00pm
Venue: Kinmylies Church, Kinmylies Way, IVP38TP
(On the Friday evening the club will meet in the Craig Phadrig woods.)
Please indicate which club your child attending (note - P5 can sign up for either club)
Child's details
Child's name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
School Year (August 2026, after the summer holidays)
School
Date of Birth
dd/mm/yy
Please indicate if the child can go home unaccompanied at the end of the club (older club only)
The child may be collected by
Health and other information
GP name
GP telephone number
Does your child have any dietary requirements (including food allergies)
Details of dietary requirements
Any other known allergies
Details of other known allergies
Any known health issues
Details of known health issues
Any additional support needs
Details of additional support needs and ways we can help support your child
Any other relevant information (for example, a day your child can't attend)
Details of other relevant information
Parent/guardian details

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 nomainted first-aider. In an emergency and if I can't be contacted, I am willing for my child to receive hospital treatment if necessary. I understand that every effort will be made to contact me as soon as possible.
Parent / guardian name

First NameLast Name
Parent/ guardian email
example@example.com
Parent/ guardian contact number
Alternative contact number
My child is under 16 and I give consent for their photo/video to be used for publicity purposes
I am happy to receive information about future events which may suit my child
SU Scotland and our partnering church(e)s are jointly responsible for this data. SU Scotland promises to look after your data in accordance with the General Data Protection Regulation. For more information, visit suscotland.org.uk/privacy. For more information on the partnering church(es) privacy policy, please contact the church. SU Scotland is registered as a charity (no. SC011222) and as a company limited by guarantee (no. SC54297)
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Summer Club 2026 Child Registration

Child's details

Health and other information

Parent/guardian details