NIMC Holiday Bible Club Registration
Parent/Guardian name
*
First Name
Last Name
Phone number
*
Child 1 name and age
*
Name
Age
Child 2 name and age
*
Name
Age
Child 3 name and age
*
Name
Age
Does your child require transport?
*
Yes
No
Does your child have any allergies/medical conditions?
*
Yes
No
As the parent/guardian of this child, I consent to them participating in the Holiday Bible Club.
I agree
GDPR: By submitting this form, you agree that the information you provide will be used to obtain parental consent, and to contact you about future children's events at Newbuildings IMC.
I agree
For more information contact Pastor Jonathan - 07769842893
Submit
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