Parent / Guardian Name
*
First Name
Last Name
Address
Home Phone Number
Mobile Phone Number
*
Email
*
Additional Emergency Contact Name
*
Additional Emergency Contact Phone Number
*
GP Name and Phone Number
Child's Full Name (First child)
*
Gender (First child)
Date of Birth (First child)
Child's School Year (First child)
Any Known Allergies or Conditions (First child)
Child's Full Name (Second child)
Gender (Second child)
Date of Birth (Second child)
Child's School Year (Second child)
Any Known Allergies or Conditions (Second child)
Child's Full Name (Third child)
Gender (Third child)
Date of Birth (Third child)
Child's School Year (Third child)
Any Known Allergies or Conditions (Third child)
Registration
*
By ticking this box, I confirm that the above details are complete and correct to the best of my knowledge. In the unlikely event of illness or accident, I give permission for any appropriate first aid to be given by the nominated first-aider. In an emergency, and if I cannot be contacted, I am willing for my child to be given medical or hospital treatment, including anesthetic if necessary. I understand that every effort will be made to contact me as soon as possible.
Photo Permissions
By ticking this box, I give permission for my child to be included in photos and videos taken during the sessions, and used to promote Bake Through the Bible and other activities run by the Western Dales Mission Community
Mailing List
GDPR Consent
*
By checking this box you are consenting to the Western Dales Mission Community holding and processing your data in relation to Bake Through the Bible, and if you have opted into our mailing list, to keep you informed about news, events, activities and services. We will not share your contact information with anyone else without your permission unless required to do so by law. You can withdraw or change your consent at any time by contacting the WDMC administrator – admin@westerndales.org.uk
Any comments or questions?
