Light Party Draft 2

Name:
Email Address:
Mobile:

Child's name(s)


Child's date of Birth(s)


Does your child have any allergies or special needs we would need to know about?


I give permission for my child's and my details to be entered on the church database
 Yes
 No

I give permission for High Street Church to contact me with details of further events that will be running.
 Yes
 No

I give permission for my child's photograph to be taken during the club (the photographs will be used for church purposes only, including Facebook and website) 
Yes
 No