Holiday Club Registration Form 2017

Holiday Club is for children who will be in years 1-6 from September 2017.

Register each child using this form, I child per form please.

Registering gives your permission for the child to attend ‘In the beginning’.

I give permission for this child to appear in any photos or videos taken during this Holiday Club:*

Gender:*

Your relationship to this child:*

Mum:

Dad:

Legal guardian:

Other:

Please state:

Your email address:*

In the unlikely event of illness or accident I give permission for any necessary treatment to be administered by first aiders:*

Yes

Child's GP phone no:*

Yes Please

No Thanks

Number of adults attending party

Number of children attending party

Any other information it might

be helpful for us to have:

Please enter 'I Agree' as

confirmation for this application:*

Date:*(DD/MM/YYYY)

*Required information

Will you be attending the party on Thursday night, 6-7.30pm?

(These will only be used to publicise Holiday Club. None of the children will be identified)

For safety reasons we are unable to accept children under 5 years old (except those that will turn 5 during August)

Registration is now closed