St Mary's Ticehurst Holiday Club Booking Form
Thurs 1st Aug 2019, 9.15am (Please submit by 24th July 2019)
Child's Name
*
First Name
Last Name
Parent's/ Guardian's Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth of the Child
*
Age of Child
*
Address
*
Street Address
Street Address Line 2
Town or Village
County
Postal Code
Phone Number
*
-
Phone Number
Number to contact in emergency
*
Name of School
*
Any allergies/ medical information we need to be aware of:
*
GP and which Practice?
Permission for all activities? Yes or No (If No, we will contact you to discuss.)
*
Permission to have photo taken on the day and put on our Facebook Page? Yes or No
*
Concluding Performance. It would be lovely for parents/family members to come along at 2.30pm to see the Bible stories dramatised and performed (along with a song or two) by the children! How many of you are likely to attend?
Data Protection. We will need to make the information you have given us available to Holiday Club team members, in confidence, on the day. Thereafter it will be kept secure in the Vicarage and deleted after one year. This is so you can be contacted on any matter of legitimate interest relating to your child's attendance on 1st August 2019 and for anonymised data to be extracted for surveys we deem to be worthwhile. However, after 1st September 2019 you can instruct us to delete any of the data you have given here by emailing admin@ticehurstandflimwell.church. Our Privacy Notice can be seen on our website www.ticehurstandflimwell.church. Please select to confirm that you have read this.
I have read the privacy notice
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