Super Hero Academy A Focus 1 Social Wednesday 29th March, 5pm – 6:30pm *Mandatory fields *Full name: Preferred name: Church / Kids Club (if any): School year: School: *Any medical/allergy/special needs details: CHILD’S DETAILS (please detail each child on a separate form) *Name: *Contact telephone: *Address: Mobile: PARENT’S / GUARDIAN’S DETAILS AGREEMENT TO BE SIGNED BY PARENT / GUARDIAN I confirm this child to be in good health and likely to be capable of the activities taking place at the ‘Cookie Creation’ I therefore agree to him / her taking part in these activities. In the event of an accident, I consent to any necessary medical treatment, which might include the use of mild analgesics such as paracetamol, being given to this child. I am aware that photographs may be taken at the event and that these pictures may be used by St Paul’s Church for promoting future children’s work. *Signed: *Date: Please return form with your payment by 26/03/17 to: St Paul’s Church Office, Fisherton St, Salisbury SP2 7QW Wednesday 29th March, 5pm – 6:30pm For Children in school years 3-4 Entry £2 per child Meeting in SP2 For further info visit www.stpaulssalisbury.org or contact Debbie Boyt, Children's Pastor on 01722 334005 ext. 204, children@stpaulssalisbury.org ‘Events are run under St Paul’s Safeguarding Policy, available on request. In event of emergency on the evening please phone 07437016778 A evening of cookie dough and design challenges Lets Get Baking *Date of birth: *Sex: male / female Names of any friends also coming: