1. Swindon Evangelical Church, 17-19 Devizes Road, Swindon
Registration Form
I consent to the child/children named below attending the Holiday Bible Club.
Name: ……………………… … Date: …… ………
Signature: ………… ………
Address:
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We might video or photograph your child for use in a craft activity or for a presentation of “Egyptian Explorers’.  If you do not wish your child/children to be included in these activities, please tick the box
Emergency contact number during the Holiday Bible Club week:
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By ticking this box you are agreeing for your details to be held on our database for the sole purpose of advising you of similar events at Swindon Evangelical Church.
Child 1
Name ……………………………………………………………………………………
Date of Birth …………………………………………………………………….
School …………………………………………………………………………………
Does your child have any allergies or a medical condition we should be aware of?
Yes/No (details): ………………………………………………………………………………………………
Which days will your child attend? Tue/ Wed/ Thurs/Fri
Child 2
Name ……………………………………………………………………………………
Date of Birth …………………………………………………………………….
School …………………………………………………………………………………
Does your child have any allergies or a medical condition we should be aware of?
Yes/No (details): ………………………………………………………………………………………………
Which days is your child able to attend? Tue/ Wed/ Thurs/Fri
Swindon Evangelical Church, Devizes Road, Swindon
If you need to contact us during the club telephone Please book early as spaces are limited.