Ashurst Drive Baptist Church
What is Christianity?
Services in the coming month
What can I expect at a service?
Children & youth
Youth Bible Study
Friends of Signpost
Summer Holiday Club 2016
Please fill in the boxes below.
A separate form is required for each child.
Indicates required field
Dates when the child will be attending
Name of child
Date of birth
Name of the school attending
Please give details of any of the named child’s medical conditions (eg. allergies, asthma, epilepsy, diabetes, dietary needs) or disability that may affect this activity.
Please register my child
Name of parent/carer
I give permission for details from this form to be entered onto the church database.
I give permission for my child's photograph to be taken during the club
Child Collection Slip
will be given to you when you leave your child with us. For your child’s protection it must be produced when
you or someone else
comes to collect them. We cannot allow them to leave with anyone else unless you phone
020 8554 7488
with your permission.
This consent form will be kept by the responsible Church Worker on the activity. Photographs of this activity will be taken for display within the church.
Your form submission will be acknowledged within 5 working days.
Copyright © 2016 Ashurst Drive Baptist Church, Ashurst Drive, Gants Hill, Ilford, Essex IG2 6QH. Registered charity no.1141907