St Michaels Holiday Club

For Primary School Children

St Michael's Royal holiday club 2019 aimed at primary school aged children. Each day will have a different theme, but we will always focus on what it means to be, and act like one of the kings people (King Jesus that is!)! Every day we will do crafts, games, drama and songs!

Times, Dates and Location

20th-23rd August 2018

10:00am-12:30pm each day. On Sunday the 25th of August we will be having a special service at St Michaels where we will look at what we have done at holiday club!

St. Michael & All Angels Church, Church Hill, Wilmington, Kent, DA2 7EH and also the Church hall, which is next door: St Michael's Church Hall 2 High Road Wilmington Kent DA2 7EG

Cost

It costs £3 per day, per child, or £10 for the whole week.

Please fill in the below form to sign up!

 Booking Form

Part A: Young Person's Details

Full Name(s):

Child 1: Child 2: Child 3:

Home Address:

Date of Birth (DD/MM/YYYY)

Child 1: Child 2: Child 3:

Which days will the child(ren) be attendinding:

Tuesday Wednesday Thursday Friday

Part B: Parent/Guardian/Carer Details

Name of Parent(s)/Guarian(s)/Carer(s):

E-Mail:


Telephone and/or mobile number:


Emergency Contact Number:


Part C: Young Person's Medical Details

Doctors Name:


Doctors Address:


Telephone:


 Any known medical conditions, allergies or phobias this young person may have, or any medication they may be on (if not, type N/A):


Is there any particular activity they should not participate in (if not, type N/A)?


Part D: Consent

Full name of parent/guardian/care-giver:


 I agree to any emergency medical treatment as considered necessary by the medical authorities if I cannot be contacted:

Yes No

This young person can be transported in the vehicle of a leader or another parent if need arises:

Yes No 


I agree to images of this young person taking part in activities being used within the church community and for possible publication (including newspapers and church website):

Yes No


I give consent for this young person to attend the above HOLIDAY CLUB and related activities, except for those already mentioned in Part C of this form: 

(Tick Box)

I am aware that the cost is £3 per day, or £10 for the whole week and will bring payment to make upon arrival.

(Tick Box) 

Signed:


Date (DD/MM/YYYY):

Data Protection:

The information collected on this form will be used by St Michaels employees and volunteers for activities associated with Holiday Club.  The data will be deleted when Holiday Club has finished.

Our full privacy policy can be viewed by clicking here

Please tick to consent to to this data protection statment: