£95 – 3x Children – Holiday Club 2022 Registration Form Parent/Carer Full Name (required) Parent/Carer Contact Email address (required) Parent/Carer Contact Telephone/Mobile Number (required) 1st Child's Full Name (required) 1st Child's Age (required) 2nd Child's Full Name (required) 2nd Child's Age (required) 3rd Child's Full Name (required) 3rd Child's Age (required) Do we have your consent to include your children in public Church photos/videos taken during Holiday Club? (required) These photos and/or videos may be later shared on our public website and/or social media channels. Yes, I provide consent.No, I do not provide consent. For Health & Safety, please provide any known allergies or medical conditions: (optional) Do you have any other comments or questions? (optional) Please leave this field empty. Δ