Registration

Please complete all sections of the form below to register for the listed activities, and click the 'Send Form' button at the foot of the page. See separate pages for more information & Pre-school registration, age & date ranges.

Registration/Emergency Contact Form

Which group(s):
  Toddlers (0-3s with parents)
 
 Sunday children's groups
Parent/carer name (s):
   Name           &      date of birth of child(ren) /young person : -
1.
2.
3.
Address:

Post Code:
Home Tel. No: 
Other/Mobile:
Email:

Any previous church contact? eg parent, as a child, as a teenager, wedding, occasional:

or Regular now –if so where? ie SJR, WWCF, St Marys, Other:

or Other religion:
Languages spoken at home:

For District & County Council equality monitoring: (optional)

 

Ethnic origin:

               Any special needs/dietary/medical info:

data will be shared with our local child centre (Westfield) as required by ofsted