Holiday Bible Club registration

Child's name *

Date of birth *

Day

Month

Year

Name of Parent/Guardian *

Address *

Post code *

Phone number *

Mobile phone number

Email address *

Please give details of any health problems, medical conditions or allergies affecting your child, or any medication that they may be taking

Tick if you DO NOT give permission for photographs/video to be taken of your child for internal purposes only (including church magazine) or on the Church website (www.trinityroadchapel.org).

Holiday Bible Club

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