Kids Club · ChurchSuite Forms

Kids club registration and consent form

The information on this form will be kept securely in the Church Office as per GDPR regulations. They will also be used for track and trace.

Person with Parental Responsibility

Name *

Address

If different from child

Mobile *

Parent Email

Sex

Other adults who can pick your child up:

Name

Child's Details

Name *

Address

Date of Birth *

Sex

Please list any relevant food allergies or dietary requirements

Please list any medical conditions we should be aware of

Please list any special educational needs we should be aware of

Photographic Images

During the course of our regular activities we may take photographs to be used both on the church website and in future event publicity. In order to publish an image of your child we need parental permission. All such photographs will be handled in accordance with our Child Protection Guidelines and we will NOT publish any names or personal information.

I grant permission for the church to publish images of my child in promotional publications, the church website and the church notice boards.

My child in a photo *

Yes

Signed *

Parent/guardian signature required

I would like to receive information about activities/events that St James will be organising *

Yes