A Gospel-Centred Community

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*

    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

    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 Star.

    X