Register for VBS

Family Information

Address

Primary Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

By completing this form you are confirming that you are consenting to Seapatrick Parish holding and processing your personal data for the purpose of contacting you by post, e-mail or telephone with regards to Seapatrick Parish events. Data Protection

During the Holiday Bible Club, photographs and videos may be taken for general church purposes including the family updates and the end of HBC video. Any concerns please contact Ava at ava@bchurch.co.uk. Photos and Videos

Childs Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Consent In the event of my son/daughter being taken ill or injured during the period of the HBC so that surgical operation or serum injection becomes necessary, I hereby authorise the leader in charge to sign on my behalf any written forms of consent required, provided that the delay necessitated to obtain my permission might endanger my son’s/daughter’s health or safety.

I have more students to register