MBC HOLIDAY KIDS CLUB • Mayfield Baptist Church

Kindy 0

Ticket Type

Register for Whole Event

Register for Specific Dates

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

How did you hear about this event?

Is this the 1st child you are registering in this booking? *

Tip: This question is designed to save you filling in parental details and consent information for each individual child. Please answer either 'Yes' or 'Only Child'. When the second ticket/registration details are shown, please answer "No" so that you are not asked to add all of those details again.

Information Form Completed By: *

Information Form Signed on: *

Family Surname Name *

Parent/Carer's Name *

Parent/Carer Phone Number *

Parent/Carer Email Address *

Address

City

State

Postcode

Emergency Contact Information

Please provide contact information of an authorised relative or friend in case we are unable to contact you.

Name *

Phone *

Relationship to the child *

Permissions Given

Consent for details to be stored by Mayfield Baptist Church *

Consent Parent/Carer to be contacted by group leaders or the church office by: *

Email

Phone

SMS

None

Consent to contacted in relation to:

This event only

Other Kids Club events

Church activities

Child Information

Child's First Name *

Preferred Name

Date of Birth

School Grade *

Consent for photos/videos being taken of the child: *

Consent for photo/videos of child to be used in newsletters, brochures, promotional media, Facebook (closed group) etc: *

Medical Information

Are there any allergies, dietary requirements physical needs or medical issues we should be aware of? *

Allergies

Dietary Restrictions

Medical issues/physical needs to be aware of

Year 1 0

Ticket Type

Register for Whole Event

Register for Specific Dates

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

How did you hear about this event?

Is this the 1st child you are registering in this booking? *

Tip: This question is designed to save you filling in parental details and consent information for each individual child. Please answer either 'Yes' or 'Only Child'. When the second ticket/registration details are shown, please answer "No" so that you are not asked to add all of those details again.

Information Form Completed By: *

Information Form Signed on: *

Family Surname Name *

Parent/Carer's Name *

Parent/Carer Phone Number *

Parent/Carer Email Address *

Address

City

State

Postcode

Emergency Contact Information

Please provide contact information of an authorised relative or friend in case we are unable to contact you.

Name *

Phone *

Relationship to the child *

Permissions Given

Consent for details to be stored by Mayfield Baptist Church *

Consent Parent/Carer to be contacted by group leaders or the church office by: *

Email

Phone

SMS

None

Consent to contacted in relation to:

This event only

Other Kids Club events

Church activities

Child Information

Child's First Name *

Preferred Name

Date of Birth

School Grade *

Consent for photos/videos being taken of the child: *

Consent for photo/videos of child to be used in newsletters, brochures, promotional media, Facebook (closed group) etc: *

Medical Information

Are there any allergies, dietary requirements physical needs or medical issues we should be aware of? *

Allergies

Dietary Restrictions

Medical issues/physical needs to be aware of

Year 2 0

Ticket Type

Register for Whole Event

Register for Specific Dates

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

How did you hear about this event?

Is this the 1st child you are registering in this booking? *

Tip: This question is designed to save you filling in parental details and consent information for each individual child. Please answer either 'Yes' or 'Only Child'. When the second ticket/registration details are shown, please answer "No" so that you are not asked to add all of those details again.

Information Form Completed By: *

Information Form Signed on: *

Family Surname Name *

Parent/Carer's Name *

Parent/Carer Phone Number *

Parent/Carer Email Address *

Address

City

State

Postcode

Emergency Contact Information

Please provide contact information of an authorised relative or friend in case we are unable to contact you.

Name *

Phone *

Relationship to the child *

Permissions Given

Consent for details to be stored by Mayfield Baptist Church *

Consent Parent/Carer to be contacted by group leaders or the church office by: *

Email

Phone

SMS

None

Consent to contacted in relation to:

This event only

Other Kids Club events

Church activities

Child Information

Child's First Name *

Preferred Name

Date of Birth

School Grade *

Consent for photos/videos being taken of the child: *

Consent for photo/videos of child to be used in newsletters, brochures, promotional media, Facebook (closed group) etc: *

Medical Information

Are there any allergies, dietary requirements physical needs or medical issues we should be aware of? *

Allergies

Dietary Restrictions

Medical issues/physical needs to be aware of

Year 3 0

Ticket Type

Register for Whole Event

Register for Specific Dates

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

How did you hear about this event?

Is this the 1st child you are registering in this booking? *

Tip: This question is designed to save you filling in parental details and consent information for each individual child. Please answer either 'Yes' or 'Only Child'. When the second ticket/registration details are shown, please answer "No" so that you are not asked to add all of those details again.

Information Form Completed By: *

Information Form Signed on: *

Family Surname Name *

Parent/Carer's Name *

Parent/Carer Phone Number *

Parent/Carer Email Address *

Address

City

State

Postcode

Emergency Contact Information

Please provide contact information of an authorised relative or friend in case we are unable to contact you.

Name *

Phone *

Relationship to the child *

Permissions Given

Consent for details to be stored by Mayfield Baptist Church *

Consent Parent/Carer to be contacted by group leaders or the church office by: *

Email

Phone

SMS

None

Consent to contacted in relation to:

This event only

Other Kids Club events

Church activities

Child Information

Child's First Name *

Preferred Name

Date of Birth

School Grade *

Consent for photos/videos being taken of the child: *

Consent for photo/videos of child to be used in newsletters, brochures, promotional media, Facebook (closed group) etc: *

Medical Information

Are there any allergies, dietary requirements physical needs or medical issues we should be aware of? *

Allergies

Dietary Restrictions

Medical issues/physical needs to be aware of

Year 4 0

Ticket Type

Register for Whole Event

Register for Specific Dates

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

How did you hear about this event?

Is this the 1st child you are registering in this booking? *

Tip: This question is designed to save you filling in parental details and consent information for each individual child. Please answer either 'Yes' or 'Only Child'. When the second ticket/registration details are shown, please answer "No" so that you are not asked to add all of those details again.

Information Form Completed By: *

Information Form Signed on: *

Family Surname Name *

Parent/Carer's Name *

Parent/Carer Phone Number *

Parent/Carer Email Address *

Address

City

State

Postcode

Emergency Contact Information

Please provide contact information of an authorised relative or friend in case we are unable to contact you.

Name *

Phone *

Relationship to the child *

Permissions Given

Consent for details to be stored by Mayfield Baptist Church *

Consent Parent/Carer to be contacted by group leaders or the church office by: *

Email

Phone

SMS

None

Consent to contacted in relation to:

This event only

Other Kids Club events

Church activities

Child Information

Child's First Name *

Preferred Name

Date of Birth

School Grade *

Consent for photos/videos being taken of the child: *

Consent for photo/videos of child to be used in newsletters, brochures, promotional media, Facebook (closed group) etc: *

Medical Information

Are there any allergies, dietary requirements physical needs or medical issues we should be aware of? *

Allergies

Dietary Restrictions

Medical issues/physical needs to be aware of

Year 5 0

Ticket Type

Register for Whole Event

Register for Specific Dates

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

How did you hear about this event?

Is this the 1st child you are registering in this booking? *

Tip: This question is designed to save you filling in parental details and consent information for each individual child. Please answer either 'Yes' or 'Only Child'. When the second ticket/registration details are shown, please answer "No" so that you are not asked to add all of those details again.

Information Form Completed By: *

Information Form Signed on: *

Family Surname Name *

Parent/Carer's Name *

Parent/Carer Phone Number *

Parent/Carer Email Address *

Address

City

State

Postcode

Emergency Contact Information

Please provide contact information of an authorised relative or friend in case we are unable to contact you.

Name *

Phone *

Relationship to the child *

Permissions Given

Consent for details to be stored by Mayfield Baptist Church *

Consent Parent/Carer to be contacted by group leaders or the church office by: *

Email

Phone

SMS

None

Consent to contacted in relation to:

This event only

Other Kids Club events

Church activities

Child Information

Child's First Name *

Preferred Name

Date of Birth

School Grade *

Consent for photos/videos being taken of the child: *

Consent for photo/videos of child to be used in newsletters, brochures, promotional media, Facebook (closed group) etc: *

Medical Information

Are there any allergies, dietary requirements physical needs or medical issues we should be aware of? *

Allergies

Dietary Restrictions

Medical issues/physical needs to be aware of

Year 6 0

Ticket Type

Register for Whole Event

Register for Specific Dates

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

How did you hear about this event?

Is this the 1st child you are registering in this booking? *

Tip: This question is designed to save you filling in parental details and consent information for each individual child. Please answer either 'Yes' or 'Only Child'. When the second ticket/registration details are shown, please answer "No" so that you are not asked to add all of those details again.

Information Form Completed By: *

Information Form Signed on: *

Family Surname Name *

Parent/Carer's Name *

Parent/Carer Phone Number *

Parent/Carer Email Address *

Address

City

State

Postcode

Emergency Contact Information

Please provide contact information of an authorised relative or friend in case we are unable to contact you.

Name *

Phone *

Relationship to the child *

Permissions Given

Consent for details to be stored by Mayfield Baptist Church *

Consent Parent/Carer to be contacted by group leaders or the church office by: *

Email

Phone

SMS

None

Consent to contacted in relation to:

This event only

Other Kids Club events

Church activities

Child Information

Child's First Name *

Preferred Name

Date of Birth

School Grade *

Consent for photos/videos being taken of the child: *

Consent for photo/videos of child to be used in newsletters, brochures, promotional media, Facebook (closed group) etc: *

Medical Information

Are there any allergies, dietary requirements physical needs or medical issues we should be aware of? *

Allergies

Dietary Restrictions

Medical issues/physical needs to be aware of

Date & Time

Kindy 0

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

Emergency Contact Information

Permissions Given

Child Information

Medical Information

Year 1 0

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

Emergency Contact Information

Permissions Given

Child Information

Medical Information

Year 2 0

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

Emergency Contact Information

Permissions Given

Child Information

Medical Information

Year 3 0

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

Emergency Contact Information

Permissions Given

Child Information

Medical Information

Year 4 0

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

Emergency Contact Information

Permissions Given

Child Information

Medical Information

Year 5 0

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

Emergency Contact Information

Permissions Given

Child Information

Medical Information

Year 6 0

MBC HOLIDAY KIDS CLUB ~ July 4 - 8 ~ 9am - 12pm

Emergency Contact Information

Permissions Given

Child Information

Medical Information