Parent/Guardian's Information
Name of parent/guardian
*
Email Address
*
Mobile Number
*
Child's Information
First Name
*
Last Name
*
Gender
*
Male
Female
Date of Birth
*
Language preference
*
Afrikaans
English
Details of any health problems, medical conditions, allergies affecting your child, or medication that they may be taking:
Please give any other information that you think may be useful to us in caring for your child
I give permission for
my son/daughter to take part. I understand that leaders will take all reasonable care during Holiday Club, but acknowledge the possibility that my child, for a short time, may be out of sight of a leader during the time.
my details to be kept on a church database, to be informed of other events
photographs/video to be taken of my child for marketing and feedback purposes
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