Polar Explorers Holiday Club Registration

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http://www.scriptureunion.org.uk/Uploads/Documents/Polar%20Explorers%20LOGO.jpg

 

 

 

 

REGISTRATION                                                           

Please fill in this form to book a place for your child       

        Please use a separate form for each child

.

 

Dates : 8,9,10&11 August 2017

Venue: Holy Trinity Church, Chesterton

 

Child’s full name……………………………………….                                        

Sex: (please circle)                  Male           Female

 

Date of birth (d/m/y) ………………………………….………………………….

School just attended …………………………………………………...                       

School Year Just completed (please circle)

                                      

                                                   R  Yr1 Yr2  Yr3  Yr4  Yr5  Yr6

 

Please register my child for POLAR EXPLORERS

Please tick which days you are registering for:                            

 

 T 8th  __      W9th __          Th10th      __         F11th __   

 

Parent’s/guardian’s signature……………………………………………

 

Parent’s/guardian’s full name……………………………………………

 

Address……………………………………………………………….……

                                                         Postcode…………………………

Contact Telephone    …………………………….………….

 

Email: ………………………………………………..…………………….        

I give permission                             I give permission

for my child’s photograph             for my child’s and my details

to be taken during the club.         to be entered on the church database           

Yes               No                               Yes           No

 

 

(The photographs will be used for church purposes only, including church magazines and press release)


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