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Easter Holiday Club 2023
Booking Form

Our Easter Holiday Club is now fully booked. We hope you can join us next year. 

Our Easter Holiday Club 2023 is on Tuesday 4th April from 10am  - 3pm. All primary school aged children are welcome! Please provide your child with a packed lunch and a drink for lunchtime. Morning and afternoon snacks will be provided. There is no charge for the club as we don't want cost to be a barrier to any children attending.

Please fill out one form per child attending holiday club. Your details will be held securely and not shared. Once you have booked you will receive further information about the club closer to the date, but if you have any questions in the meantime please feel free to email Kurt at

We look forward to having you join us!


Holiday Club 2023 Booking Form:

Child's Name:

Date of Birth: 

School Year: 

Male :     Female:   

Your Email Address: 


Contact Number:

Second Contact Number:

Does your child have any allergies or medical conditions that we should be aware of? Please give details of any medications we need to administer, if applicable.

We sometimes use photographs of group activities / general scenes taken during holiday club on our church website and Facebook page to advertise future clubs. Please indicate whether or not it is okay for us to publish pictures of your child as part of a group.

Consent for photos:      No photos please:  

In case of illness or accident, do you give permission for any necessary medical treatment to be given by the nominated first aider? If you cannot be contacted in an emergency are you willing for your child to receive hospital treatment, including anaesthetic if necessary?

Consent for medical treatment:      No medical treatment please:  

Name of the adult collecting the child at the end of the day:

Your Name (Parent / Guardian):

Click here to view our church's data privacy policy.

Can we use your email address to contact you about next year's club or other relevant activities at church?

Yes please:      No thanks:  

Would you like to receive our weekly church email newsletter, This Week at Send, with information about church life and our regular activities?

Yes please:      No thanks:  
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