Holiday Bible Club 2019

8th - 11th April 2019
Welwyn Evangelical Church

Registration and Consent Form


Child/rens' Name(s):
First and Surname

Select from list Date of Birth Age School Year

 Parent/Carer’s Name:    


Phone no:                       

Mobile no:                     

Email Address:              (required for confirmation of registration)

Emergency contact names and phone numbers (if parent/carer above not available)

Name 1: Phone no:

Name 2: Phone no:

Please indicate any allergies, medical conditions or anything else we should know:

I give my permission for my child/ren to have a drink and biscuit:

Who will be collecting and signing out your child/ren each day? It does not have to be the same person each day, but you must inform us beforehand:


We may make a short video of the Club. Would you mind if your child/ren features in it, and would you mind if it is used on the church website?
I give my permission for photographs/video to be taken within the club for use at the club and as above:

I give permission for my child/ren’s name and details to be entered in the church database. We will retain your child/ren's data for emergency contact use during the Holiday Bible Club week. We may use your data to contact you about other youth and Holiday Bible Club events. We shall retain this information for a maximum of 15 months without further approval.

Would you agree to receiving occasional emails or letters about special church events or public meetings?

The Church complies with Data Protection Legislation. Our Data Protection Policy and Data Privacy Notice can be inspected at the church

How did you find out about Holiday Bible Club:

In submitting this form you are confirming that the above details are complete and correct to the best of your knowledge.

Sent by:     Date:

Please press 'Send' to send the above details.

You should receive an email within 48 hours in confirmation of receipt of these details. If not, or if you have any questions, please telephone Hilary Roberts 01438  715372 or email