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Holiday Club Booking Form

Child's Details

*First name

*Last name

Preferred Name

Preferred pronouns

*Birthday

Day

Month

Year

*Please list any allergies, additional needs or type N/A if none present

*School

Who is making the booking?

*Full name

*Email address

*Phone number

*Address

*Relationship to the child

Emergency Contacts

*Emergency Contact 1: Name

*Emergency Contact 1: Number

*Emergency Contact 2: Name

*Emergency Contact 2: Number

Additional Information

Please review our Social Media policy https://www.flitwickchurch.org/_files/ugd/dc56d7_408474d575a642e59ff758eafc3e4c42.pdf

*I agree to photos of the above child being used for publicity...

We are part of the Church of England in the Diocese of St Albans

The Parochial Church Council of the Ecclesiastical Parish of St Peter and St Paul's, Flitwick is registered with the Charity Commissioners for England and Wales (Charity Number 1169624)
©2019 by Flitwick Church.

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