Blackford Church Holiday Club Form (Summer 2026)

Blackford Parish Church Holiday Club - starts Monday 10th August

Our summer Holiday Club runs from 10:00 to 12:15 from Monday to Friday in that last week of the school holidays. We're looking forward to another week of games, songs and crafts with a scientific twist of experiments and discovery. All adult team members (aged 16+) are accredited volunteers with the Church of Scotland including PVG checks. For more information about the holiday club, please visit our webpage at www.blackfordparishchurch.org/holidayclub.
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 were they in during the last school session? (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)
What days are you planning to have your child attend? (we know that some things may be already planned that week)
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.
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:
I am happy to receive information from Ardoch and Blackford Parish Church about future events which may suit my child:
Should be Empty:

Blackford Parish Church Holiday Club - starts Monday 10th August