CHILD 1 - Name
*
First Name
Last Name
Child 1 - Details of any regular medication, medical problems (eg asthma, epilepsy, diabetes, allergies, dietary needs etc) behavioural problems or disability with may affect normal activity:
CHILD 2 - Name
First Name
Last Name
Child 2 - Details of any regular medication, medical problems (eg asthma, epilepsy, diabetes, allergies, dietary needs etc) behavioural problems or disability with may affect normal activity:
CHILD 3 - Name
First Name
Last Name
Child 3 - Details of any regular medication, medical problems (eg asthma, epilepsy, diabetes, allergies, dietary needs etc) behavioural problems or disability with may affect normal activity:
Parent 1 Name (i.e mum/guardian)
*
First Name
Last Name
Parent 2 Name (i.e dad/guardian)
First Name
Last Name
Parent's Address
*
First Line of Address
Area
Postcode
Parent 1 Email
*
Parent 2 Email
Parent Home Number
Parent Mobile Number
*
Declaration (please tick each one
*
I give permission for my child to have a drink and biscuit, sweets or occasionally fruit.
I give permission for photographs to be taken within the activities and future events.
In an emergency and / or if I am not contactable, I am willing for my child to receive first aid, doctor, hospital or dental treatment, including an anaesthetic if necessary.
Your Message
Your Name
First Name
Last Name
Thank you for completing the Soul Kids Registration form.
This will help the Children’s team look after your children.
Your data is safe and will be stored securely.
Rob BubyerOperations Manager The St J’s Group ADDRESS: St Johns Church, Church Road, Peasedown St John, Bath, BA2 8AA TEL: 07973 972018 | EMAIL: rob.bubyer@stjsgroup.church | WEB: www.stjsgroup.church Registered Charity England & Wales No. 1154122