1. 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: ……………………………………………………………………………
………………………………………………………………………………
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, Devizes Road, Swindon
If you need to contact us during the club telephone Please book early as spaces are limited.