2013 06 30 registration form a5 x 1
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Transcript of 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.