Playtime
Parent / Guardian Details
First Name
Last Name
Email Address
Mobile Number
Home Address
Home City
Home Postcode
Details of children attending Playtime
Child 1 full name
Child 1 gender
Child 1 date of birth
Child 1 allergies
Child 2 full name
Child 2 gender
Child 2 date of birth
Child 2 allergies
Please submit a second form if you have more than two children attending Playtime
Carer at Playtime if different to Parent/Guardian above
Name of carer
Phone number of carer
Carer's relationship to child
Emergency Contact Name and Number
Emergency contact name
Emergency contact phone number
Permissions
Photos or videos of my child may be taken and used for promotional clips and craft
yes
no
I would like to receive Playtime newsletters and information on upcoming events
yes
no
I would like to receive information for upcoming church events
yes
no
Submit