Registration Forms
Home
About
Activities
Pushchair People
Emmaus
Community Cafe
Ladies Group
Youth on Tuesday
YOUTH ON WEDNESDAY
Toddler Cafe
ALPHA COURSE
Opportunities
Contact
Home
About
Activities
Pushchair People
Emmaus
Community Cafe
Ladies Group
Youth on Tuesday
YOUTH ON WEDNESDAY
Toddler Cafe
ALPHA COURSE
Opportunities
Contact
More
More child
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TO BOOK FOR AN EVENT :-
1. Visit the
PAYMENT PAGE
to choose your events.
2. For Holiday Club, once you have booked and paid above, please complete
REGISTRATION FORM BELOW
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You will need a payment order confirmation number (see above) before you fill in the Registration Form below.
You can only fill in 2 children per form. Please send the form and then repeat for more children.
THANKS
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Order number from Payment confirmation email *
Parent / Guardian name *
Address *
Email *
Phone *
Emergency Contact Info *
Name of person collecting child *
Photo permission *
--
YES
NO
I give permission for a record of my email, childs name and address to be kept and used for invitation to future events. These will not be used for any other purpose. Our privacy notice is available on the website. *
--
YES
NO
I give permission for my child to have first aid administered as deemed neccesary. I will be notified as soon as possible if this occurs *
--
YES
NO
Child 1 Name *
Child 1 Age *
Child 1 Allergies *
Child 1 Additional Information *
Child 1 - Which days are they attending? *
Monday
Tuesday
Wednesday
Thursday
Friday
Child 2 Name *
Child 2 Age *
Child 2 Allergies *
Child 2 Additional Information *
Child 2 - Which days are they attending *
Monday
Tuesday
Wednesday
Thursday
Friday
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