J Club After School Tuesdays 3:45

J Club After School Tuesdays 3:45 - 5pm
Dear parent/carer, thank you for registering for J Club, it is a privilege to spend time with your young person. At J Club we aim to provide a fun and safe club atmosphere where all children have a sense of belonging and value. Parents/carers are always welcome to attend with their child if they are nervous about starting new clubs. We always start with a snack, so be sure to tell us if there is anything your child cannot have. It is helpful to know if they need any additional support, the more we know about your young person, the better we can plan our activities and help them to have a great time.
Children that are registered for the walking bus will be collected from their classrooms and will not come out onto the main playground after school. If your child will not be at J Club for any reason, please do let us know or let the school know.
Child Information
Name

First Name Last Name
Date of birth

- Month - Day Year
Child's School Year Sept 2018
Name of School if not Wadhurst CoE
Class name
Walking bus from Wadhurst Primary

Yes No
Parent/Carer Info
Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	County
Post code	Country

Phone Number (landline)

- Area Code Phone Number
Mobile number

- Area Code Phone Number
E-mail
Additional needs

If you would like to talk to a J Club team member in more detail please do not hesitate to contact us.
Does your child have any additional needs? Is there anything we should know about your child that would help us plan activities.
Medical Information
GP

First Name Last Name

GP Address

Street Address
Street Address Line 2
City	County
Post Code	Country

GP Phone number

- Area Code Phone Number
Medical concerns
Medical info/allergies
Medical treatment

I agree I do not agree
I agree to any emergency medical treatment to be given as considered necessary by the medical authorities if I cannot be contacted (NB: The medical profession takes the view that a parent's consent to medical treatment cannot be delegated. Medical consent forms have no legal status and a doctor has the right to insist on parental consent before treating a child. We have found however, that medical staff find this type of general consent helpful).
Who is collecting your child at 5pm from Wadhurst Church

If this will change from time to time please let us know
Name

First Name Last Name
Contact Number

- Area Code Phone Number
Relationship to child
Photo & Video permission
We sometimes take photos and video at J Club. We do not post pictures or video on social media, but sometimes we put photos and video on the church website or in printed material to promote church life. Taking photos and video also allow us to share J Club memories with the children at J Club and with parents/carers. Please select your preference below.
Photo & Video permission

I consent to photos and videos being taken at J Club. I Do not consent to photos and videos being taken at J Club I consent to photos and videos being taken, but do not consent to the images or video being used on the church website or in printed material.
Can we contact you?
Can we contact you? We will not share your contact details with any other churches or organisations.

I would like to receive the weekly emailed church bulletin with details about service times and events. I would be happy to be contacted by Wadhurst Church about up and coming events, including holiday clubs. I do not wish to be contacted about anything other than J Club After School
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J Club After School Tuesdays 3:45 - 5pm

Child Information

Parent/Carer Info

Additional needs

Medical Information

Who is collecting your child at 5pm from Wadhurst Church

Photo & Video permission

Can we contact you?