Friday Club Registration Form

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All done!

Thank you for registering your Friday Clubber. See you soon!

Name of child

Child’s date of birth

Address

Parent / Guardian name

Main contact phone number

Doctor’s name

Doctor’s address

List any medical conditions we should know about

Any medication? If yes, please list

Any allergies? If yes, please list

Do we have your permission to administer First Aid, if necessary? (required)

Yes

Do we have your permission to use plasters in the case of minor cuts?(required)

Yes

Alternative contact name

Their phone number

My child will: (required)

Be collected from Friday Club by an adult

Walk home from Friday Club on their own

Name of adult completing this form

USE OF YOUR DATA – tick this box to confirm that you are happy for us to hold this information for the purpose of having emergency contact details and to inform you of upcoming church events. We will not share this information with any 3^rd Party. (Please note if you don’t tick this box, your child will be unable to attend Friday Club)

PHOTOGRAPH/FILM PERMISSION – please tick this box if you are happy for us to take photos of (or film) your child taking part in group activities at club for us to use on the church website and/or social media.