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St. Michael & All Angels Church

Celebrating, proclaiming & demonstrating God’s love as shown in Jesus

Registration for Holiday Club - August 22nd to 25th 2017

Holiday Club

 Please complete all the details below and click on "Send Form" to complete the registration.

 Full names of all children attending


 Full name of parent / guardian


 School Year(s)


 Which days attending

     Tue  Wed   Thu  Fri    

 Contact Address


 Emergency contact phone number


 Email Address


 Details of any medical needs,
 allergies or dietary requirements


 Consent for photos/film of child/ren being
 taken and used for presentation day




 Consent for child/ren to be taken by group
 leaders to hospital in the case of an




 Consent for child/ren to participate in
 holiday club




 Any other relevant information




 Tick this box if you wish  to receive
 confirmation of your registration



Office Address:

2 High Rd, 



DA2 7EG..........Registered Charity Number:1127656 

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