Allington Baptist Church

Holiday Club

Registration Form

Wednesday 28th May to Friday 30th May 2025
9:30 am – 12:30 pm each day

Register by using this form.

Each child must be registered separately.

The fields marked * must be completed.

Child's Name(Required)

Gender

Date of Birth(Required)

Any Days child NOT attending Holiday Club?

Wednesday

Thursday

Friday

Known allergies or conditions (or reply NONE)(Required)

Parent / Guardian's Information

Name(Required)

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Landline or Mobile Number(Required)

Email Address(Required)

Emergency Contact (Name and Telephone Number)(Required)

Child's GP's Name, Address and Telephone Number(Required)

I confirm that the above details are complete and correct to the best of my knowledge *

Yes

No

In the event of illness or accident I give permission for first aid to be given by the nominated first-aider(Required)

I give permission

I do not give permission

In an emergency, and if I cannot be contacted, I am willing for my child to be given hospital treatment, including anaesthetic(Required)

I give permission

I do not give permission

I give permission for my details and those of my child to be entered into the church database(Required)

I give permission

I do not give permission

I give permission for my child's photographs to be used in Allington Baptist Church online and printed publications(Required)

I give permission

I do not give permission

I give permission for my child's photographs to be used on Allington Baptist Church's social media pages(Required)

I give permission

I do not give permission

How did you hear about the Restoration Holiday Club?

Please specify

*Note: Payment cannot be made online. Please retain your booking reference and make payments in cash on the first day of the Club.

Worship With Us

Allington Baptist Church
76A London Road
Maidstone
Kent
ME16 0DT

Allington Baptist Church

Holiday Club

Registration Form

Register by using this form.

Parent / Guardian's Information

Worship With Us

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