Monday Club Child Registration

All children in Primary 1 to Primary 7 are welcome to join us at Monday Club. 
Please fill in details below to help us look after your child safely while they are in our care (one child per form):

Child Surname: 
Child First Name: 
Child known as:
Child's Year at School in August: P1P2P3P4P5P6P7 
Child's Date of Birth (dd/mm/yy): 

Details of any allergies or medical issues we should be aware of:

Parent/Guardian Name: 

Street Address:   
                            
Town: 
Postcode: 
Email address: 

Contact Telephone Number (for while club is running): 
Second Contact in case of emergency:
Name  Tel 

Please view our Privacy Policy and complete this privacy consent section: 

• I consent to these details being stored and used by Hebron Evangelical Church on behalf of the Monday Club organisers for the purpose of running the club:    Yes   No
• I consent to these details being stored and used by Hebron Evangelical Church on behalf of the Monday Club organisers to inform me of future Clubs:    Yes   No
• I give permission for my child to be photographed during club activities:    Yes    No

(Photos may be used during the club, on a closed Facebook group, or for future publicity)