Registration

• Though children of all ages are welcome to come along to our Fun Day on Saturday 1st October, it is especially suitable for primary school age children.

• We ask that a parent/guardian over 18 years accompanies any children who are under school age.    Please let us know on the registration form who will be accompanying your child.

• Please indicate on the form if your child may visit the toilet facilities unaccompanied if you are not staying with your child.   There may be other people in the building during the morning.

• There is a nominal charge of £1 per child (£2 per family) for the Fun Day though additional donations are welcome.  There is a small charge for tea and coffee for accompanying adults

• Children will be offered drinks of orange squash or water during the morning.     Please indicate on the form if there are any dietary problems.

• If you do not wish your child’s photograph to be used e.g. in the local press, please indicate on the form.

• Completed forms must be returned to the Centre or Church Office by Wednesday 28th September.

• The Fun Day will end with a Christian act of worship at 11.45am to which parents are warmly invited.    Come along early and join us.

• We require a contact number in case of emergencies.

CHURCH OF THE GOOD SHEPHERD, COX GREEN

Saturday, 1st October 2011    10.00AM – 12 NOON

If your child would like to attend, please complete and return this form by Wednesday, 28^th September to the Centre or Church Office.

Children under school age must be accompanied by an adult

Please complete a separate form for each child

CHILDREN’S

FUN DAY

AT Cox Green Community Centre

Saturday

1st October

10.00am – noon

Name of child..............................................................................

Date of birth....................................    Age.........................

Address.......................................................................................

            ...................................................................................................

Email  …………………………………………@.........................................................

Tel No  home............................................mobile.............................................................

Or if not contactable on day

Contact name …………………………………………………………………………  tel.no…………………………..

For accompanied children only – name of adult ………………….........................................

Does your child have any special needs / health problems / food allergies of which we should be aware?      If so, please give a brief description below:

..................................................................................................................................................

I give permission for my child to attend the Fun Day on  1st October.   If it becomes necessary for my child to be given urgent medical treatment and I cannot be contacted by telephone or any other means to authorise this, I hereby give my general consent to any medical treatment judged to be necessary and urgent by a medical practitioner and I authorise the leader in charge to sign any document required by hospital or other authorities.

* I give permission for my child’s photograph * (and name) to be used for publicity purposes.  

* I give permission for my child to use the toilet facilities at the Centre unaccompanied.                                       * Please delete as necessary.

signed (parent/guardian)  .........................................................

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