2013 06 30 registration form a5 x 1

1
All aboard me hearties for an action packed week of swashbuckling at St Mary’s Church, 29th July to 1st August 2013 10-2pm. Get ye rations packed up in a box and do not be wearin’ yer finest clobber! Be sendin’ yer messages in a bottle with yer gold by the 26th July. Mon 29th Tues 30th Weds 31st Thurs 1st Tick the days you wish to aend: Name of Child ……………………………………….. Age ……………. Address ………………………………………………………………………………………………………………………………… Parent’s Name ……………………………………………………………………………………………………………………… Home phone number …………………………………………………………………………………………………………… Mobile (Emergency Contact) ………………………………………………………………………………………………… Allergies / Medical condions ……………………………………………………………………………………………….. If possible could I be with my friend …………………………………………………………………………………….. (We can only aempt to sasfy requests where possible, and on a first come basis– but we are all very friendly!) I give permission for my child to join in with all the acvies. I give my consent for medical treatment or first aid arising out of illness or accident. I understand that this takes place on an open site. I give/do not give permission for my child to be photographed. Signed ……………………………………………………………………………………. Date …………………………………….. E-mail (if you wish to be contacted about future events): ……………………………………………………………………………... Places are limited, booking and pre-payment essenal, sorry no admissions on the day! Please wear old clothes and bring a packed lunch, Contact Dawn (816962) or Morag (643387) for any further info. To secure your place, please return form and payment to Meppershall Lower School or 28 Brookmead, Meppershall Cash or Cheques for £3 per day (Cheques to be made payable to Meppershall PCC) Bring your parents and please join us for our opening service on Sunday 28th July and come and hear all about what we have been doing on Sunday 4th August. Both 11am at St Mary’s.

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Childrens Holiday Club Registration Form

Transcript of 2013 06 30 registration form a5 x 1

Page 1: 2013 06 30 registration form a5 x 1

All aboard me hearties for an action packed week of

swashbuckling at St Mary’s Church, 29th July to 1st

August 2013 10-2pm.

Get ye rations packed up in a box and do not be wearin’ yer

finest clobber!

Be sendin’ yer messages in a bottle with yer gold by the 26th July.

Mon 29th

Tues 30th

Weds 31st

Thurs 1st

Tick the days you wish to a�end:

Name of Child ……………………………………….. Age …………….

Address …………………………………………………………………………………………………………………………………

Parent’s Name ………………………………………………………………………………………………………………………

Home phone number ……………………………………………………………………………………………………………

Mobile (Emergency Contact) …………………………………………………………………………………………………

Allergies / Medical condi�ons ………………………………………………………………………………………………..

If possible could I be with my friend ……………………………………………………………………………………..

(We can only a�empt to sa�sfy requests where possible, and on a first come basis– but we are all very friendly!)

I give permission for my child to join in with all the ac�vi�es. I give my consent for medical treatment or first aid arising out of illness or accident. I understand that this takes place on an open site. I give/do not give permission for my child to be photographed.

Signed ……………………………………………………………………………………. Date ……………………………………..

E-mail (if you wish to be contacted about future events): ……………………………………………………………………………...

Places are limited, booking and pre-payment essen�al, sorry no admissions on the day! Please wear old clothes and bring a packed lunch, Contact Dawn (816962) or Morag (643387) for any further info.

To secure your place, please return form and payment to Meppershall Lower School or 28 Brookmead, Meppershall

Cash or Cheques for £3 per day

(Cheques to be made payable to Meppershall PCC)

Bring your parents and please join us for our

opening service on Sunday 28th July and come

and hear all about what we have been doing on

Sunday 4th August. Both 11am at St Mary’s.