Swindon Evangelical Church, 17-19 Devizes Road, Swindon Registration Form I consent to the child/children named below attending the Holiday Bible Club. Name: ………………………...............................................… Date: …….......................……… Signature: …………..........................................……… Address: …………………………………………………………………………….............................................................................. E-mail: ……………………………………………………………………………… 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 Emergency contact number during the Holiday Bible Club week: ………………………………………………………………………………………… By ticking this box you are agreeing for your details to be held on our database for the sole purpose of advising you of similar events at Swindon Evangelical Church. 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 is your child able to 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.