Let us know you’re coming to one of the parties! Please enable JavaScript in your browser to complete this form.CHILD INFORMATIONName of Child *FirstLastDate of Birth *Which party is the child attending? *0-4 yr 4:30-5:305-11 yr 6:00-8:00Register Child 2Add information for a 2nd childName of 2nd Child *FirstLastDate of Birth of 2nd Child *Which party is the child attending? *0-4 yr 4:30-5:305-11 yr 6:00-8:00Register Child 3Add information for a 3rd childName of 3rd Child *FirstLastDate of Birth of 3rd Child *Which party is the child attending? *0-4 yr 4:30-5:305-11 yr 6:00-8:00MEDICAL INFORMATIONPlease provide details of any medical conditions, disability, allergies, dietary needs and special needsIf registering more than one child please specify which child the information applies to.PARENT/CARER INFORMATIONName of Parent/Carer *FirstLastContact Number for Parent/Carer *Email of Parent/Carer *EmailConfirm EmailCONSENTSPhotos Consent (Local Display or Publicity)I consent to photos being taken of my child/children for local display or publicity.Photos Consent (Website)I consent to un-named photos being used on the church website.Receive First AidIn an emergency, if I cannot be contacted, I give permission for my child/children to receive first aid or necessary hospital treatment, including anaesthetic.PROMOTIONAL MATERIALFuture ActivitiesPlease keep me informed of any other activities for children and families at Bourne Baptist.Future EventsI would like my eMail address to be added to the Bourne Baptist Church events mailing list.DECLARATION (to be completed by a parent/carer with parental responsibility)Consent *I confirm that the above details are correct. I give permission for my child to take part in the normal activities of the holiday club. I also agree to immediately inform the group leaders if anything written on this form about the child changes. I understand that information provided for the child/children and for all parent/carers will be stored electronically and in paper format.Name of Person Completing Form *EmailSubmit