Swindon Evangelical Church, 17-19 Devizes Road, Swindon Registration Form I consent to the child/children named below attending the Holiday Bible Club. Parent’s Name: ………………………… ......................……….........….......... Signature: …………………........................................ Date: ......................... Address: …………………………………………………………………………… E-mail: ……………………………………………………………………………… Emergency contact number during the Holiday Bible Club week: ………………………………………………………………………………………… We might video or photograph your child for use in a craft activity or for a presentation of “Egyptian Explorers".  If you do not wish your child/children to be included in these activities, please tick the box Child 1 Name …………………………………………………………………………………… Date of Birth ……………………………………………………………………. School ………………………………………………………………………………… Does your child have any allergies or a medical condition we should be aware of? Yes/No (details): ……………………………………………………………………………………………… Which days will your child attend? Tue/ Wed/ Thurs/Fri Child 2 Name …………………………………………………………………………………… Date of Birth ……………………………………………………………………. School ………………………………………………………………………………… Does your child have any allergies or a medical condition we should be aware of? Yes/No (details): ……………………………………………………………………………………………… Which days will your child attend? Tue/ Wed/ Thurs/Fri Swindon Evangelical Church, 17-19 Devizes Road, Swindon If you need to contact us during the club telephone 01793 541153. Please book early as spaces are limited.