Register for Hebron Holiday Club



Please fill in the form 1 per child. 


Child's Name:
Child's Age:
Parent \ Guardian Name:
Email Address:
Does your child have any allergies or medical conditions?: (Please State)
Does your child have any dietary requirements?:
Do you consent to photos being taken of your child?:
By filling in this form you are agreeing to the below:

I understand that while involved my child will be under the control and care of the group leader and/or other adults approved by the
church leadership, and that whilst the staff in charge of the group will take all reasonable care of the children, they cannot necessarily
be held responsible for any loss or damage of property or injury suffered by my child during, or as a result of the activity. 

I give permission for my child to receive medical treatment that he/she may need in an emergency. 

*Hebron Pentecostal Church adheres to the Data Protection Act and all information given is
confidential and will not be disclosed to another individual or organisation without your permission.

By providing your personal details you agree to allow Hebron Pentecostal Church to contact you by mail, email,
telephone or SMS text message in connection with its charitable purposes.

Hebron Pentecostal Church does not make personal data available to external individuals or organisations.

By filling in this form you are agreeing for the data contained on this form to be held either by paper or electronically and understand
the information can be removed at a parent’s request.