Online Registration To register your child’s place, please fill in the form below. Fields marked with a * must be filled in! please fill in a Separate form for each child attending the Holiday Club. Child's Name* Date of Birth* School Year 2019/2020* ---N/AR123456 Parent/Carer Name* Address* Town/City County Postcode* Home Tel No* Mobile Email* Medical Info Please share how you heard about the 2019 Holiday Club ---Child has attended an HBC Holiday Club beforeChild attends other HBC clubA flyer from SchoolWord of mouthOther Do you give your permission for photographs &/or video footage of your child to be taken during Holiday Club and for their potential use in any future online & offline publications/marketing for Horham Baptist Church?* YesNo In the unlikely event of illness or accident, I give permission for any appropriate first aid treatment to be given to my child. In the case of an emergency I give consent for my child to receive medical treatment, including treatment under general anesthetic. I understand that every effort will be made to contact me as soon as possible.* I confirm that all of the above detail's are correct to the best of my knowledge.* Please prove you are human by selecting the Cup.