Activity Day (to be determined) I give consent for my child:
* indicates required field Child's first name* Child's last name* Primary:* P1P2P3P4P5P6P7 Email of Parent or Guardian* Name of Parent or Guardian* I am :* ParentGuardian Your telephone number:* Collection - he/she: May go home unattendedWill be collected by meWill be collected by named person below Named person (enter "N/A" if does not apply):* Photos of my child may be taken during the day:* I agree with photos being taken (may be used on church website)I do not agree with photos being taken The church needs to be cleaned at the end of the day at 3.30pm-:* I am able to help tidyI am unable to help tidy Emergency contact number on the day:* Emergency contact name:*
Please inform us of any medical conditions your child may have (enter "Nil" if none)* I give consent for my child to attend the activity day* YesNo
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