1. 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 or contact Debbie Boyt, Children's Pastor on ext. 204,
‘Events are run under St Paul’s Safeguarding Policy, available on request.
In event of emergency on the evening please phone
A evening of cookie dough and design challenges
Lets Get Baking
*Date of birth:
*Sex: male / female
Names of any friends also coming: