Not long to go now until Holiday Club.  Hope your child is getting excited!

The safety and care of every child at Holiday Club is important to us. Please carefully complete the form below (a separate form for each child if you have more than one) so we can care for them according to your wishes. Remember to click the 'Send' button once complete. If your submission has been logged, an acknowledgement message will then appear.
 

Child's Firstname:
Child's Surname:

 

• I give my consent for my child to swim under the supervision of a qualified lifeguard YesNo
  • If yes, how would you rate your child's swimming ability Non swimmerModerateConfident
• I give my consent for my child to be photographed during Holiday Club and for photos to be used on the church website & social media pages, and in projected & printed material, e.g. church annual report YesNo
• I give my consent that in the event of illness or accident any appropriate first aid may be given to my child by the nominated first aider. In an emergency, if I cannot be contacted, I consent to my child being given hospital treatment including anaesthetic if necessary. I understand that every effort will be made to contact me as soon as possible. YesNo
• I give my consent for my child to go home unaccompanied after Holiday Club each day YesNo   If "No", please provide a Collection Phrase/Password (we will only release your child to an adult who can provide this phrase/password): 

 
Would you like to be contacted throughout the year about other events being run by Harwell and Chilton Churches YesNo