Holiday Club 2018

2018 Forms

Please fill in the appropriate form, the Child and Teen Helper Forms must be completed by a parent or guardian.

Child Form (4-11) - LIMITED TO 50 PLACES

If you are human, leave this field blank.

How many children will be attending Holiday Club?

Number of Children *

1

2

3

4

Childs details

First Name *

Last Name *

D.O.B *

Address Line 1 *

Address Line 2

City/Town *

Postcode *

Second Child's Details

First Name *

Last Name *

D.O.B *

Third Child's Details

First Name *

Last Name *

D.O.B *

Fourth Child's Details

First Name *

Last Name *

D.O.B *

Which Holiday Club are they attending?

HC Location *

Healaugh

Which days can they attend?

Availability

Monday

Tuesday

Wednesday

Thursday

Friday

Medical/Dietary requirements that we should be aware of:

Medical / Dietary Needs

Parent/Guardian Details

Full Name *

Address if different from above

Contact Number *

Email

I (the parent/guardian) give photo and video consent to the Bridge Project Tadcaster and St John the Baptist Healaugh to use my child's image in its print and online publications:

This consent allows the use of photos and video for promotional purposes, for the next 12 months and are not shared with 3rd parties.

Photo & Video Consent

Yes

No

I (the parent/guardian) give consent for the Bridge Project Tadcaster and St John the Baptist Healaugh to store the personal data entered into this form until the end of the Holiday Club, July 27th 2018.

This data is stored securely and is not shared with 3rd parties.

Data Consent

Yes

No

Verification

reCAPTCHA

Parent/Guardian Signature *

• Draw It
• Clear

Teen Helper Form (14-17)

If you are human, leave this field blank.

Young Helper Details

First Name *

Last Name *

D.O.B *

Address Line 1 *

Address Line 2 *

City/Town *

Postcode *

Email Address

Phone Number *

Which Holiday Club can you help with?

HC Location *

Tadcaster

Healaugh

Bishopthorpe

I will be available to come to Holiday Club on:

Availability

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

I would like to help with...

Can Help With

Admin

Crafts

Decorating the hall

Hosting

Drama

Leading Prayers (team meetings)

Leading Small Groups

Memory Verse Game

Music

PA/Tech

Prayer Activities

Providing Lunch

Refreshments

Sports/Games

Starter Activities

Welcoming

Do you Have...

A valid First Aid Certificate *

Yes

No

A valid DBS check for working with Children and Young people

Yes

No

If you do not have a DBS please download, and fill out this self-declaration form and email back to admin@bridgeproject.info
SELF DECLERATION FORM

Medical/Dietary requirements that we should be aware of:

Medical / Dietary Needs

Parent/Guardian Details

Full Name *

Address if different from above

Contact Number *

I (the parent/guardian) give photo and video consent to the Bridge Project Tadcaster and St John the Baptist Healaugh to use my child's image in its print and online publications:

This consent allows the use of photos and video for promotional purposes, for the next 12 months and are not shared with 3rd parties.

Photo & Video Consent

Yes

No

I (the parent/guardian) give consent for the Bridge Project Tadcaster and St John the Baptist Healaugh to store the personal data entered into this form until the end of the Holiday Club, July 27th 2018.

This data is stored securely and is not shared with 3rd parties.

Data Consent

Yes

No

reCAPTCHA

Parent/Guardian Signature *

• Draw It
• Clear

Full Day Adult Form (18+)

If you are human, leave this field blank.

Contact

First Name *

Last Name *

D.O.B *

Address Line 1 *

Address Line 2 *

City/Town *

Postcode *

Email Address *

Phone Number *

Which Holiday Club can you help with?

HC Location *

Tadcaster

Healaugh

I will be available to come to Holiday Club on:

Availability

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

I would like to help with...

Can Help With

Admin

Crafts

Decorating the hall

Hosting

Drama

Leading Prayers (team meetings)

Leading Small Groups

Memory Verse Game

Music

PA/Tech

Prayer Activities

Providing Lunch

Refreshments

Sports/Games

Starter Activities

Welcoming

Do you Have...

A valid First Aid Certificate *

Yes

No

A valid DBS check for working with Children and Young people

Yes

No

If you do not have a DBS please download, and fill out this self-declaration form and email back to admin@bridgeproject.info
SELF DECLERATION FORM

Medical/Dietary requirements that we should be aware of:

Medical / Dietary Needs

Emergency Contact Details

Full Name *

Address if different from above

Contact Number *

I give photo and video consent to the Bridge Project Tadcaster and St John the Baptist Healaugh to use my image in its print and online publications:

This consent allows the use of photos and video for promotional purposes, for the next 12 months and are not shared with 3rd parties.

Photo & Video Consent

Yes

No

I give consent for the Bridge Project Tadcaster and St John the Baptist Healaugh to store the personal data entered into this form until the end of the Holiday Club, July 27th 2018.

This data is stored securely and is not shared with 3rd parties.

Data Consent

Yes

No

reCAPTCHA

Signature *

• Draw It
• Clear

Half Day Adult Form (18+)

If you are human, leave this field blank.

Contact

First Name *

Last Name *

D.O.B *

Address Line 1 *

Address Line 2 *

City/Town *

Postcode *

Email Address *

Phone Number *

Which Holiday Club can you help with?

HC Location *

Tadcaster

Healaugh

I will be available to come to Holiday Club on:

Availability

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

I would like to help with...

Can Help With

Admin

Crafts

Decorating the hall

Hosting

Drama

Leading Prayers (team meetings)

Leading Small Groups

Memory Verse Game

Music

PA/Tech

Prayer Activities

Providing Lunch

Refreshments

Sports/Games

Starter Activities

Welcoming

Do you Have...

A valid First Aid Certificate *

Yes

No

A valid DBS check for working with Children and Young people

Yes

No

If you do not have a DBS please download, and fill out this self-declaration form and email back to admin@bridgeproject.info
SELF DECLERATION FORM

Medical/Dietary requirements that we should be aware of:

Medical / Dietary Needs

Emergency Contact Details

Full Name *

Address if different from above

Contact Number *

I give photo and video consent to the Bridge Project Tadcaster and St John the Baptist Healaugh to use my image in its print and online publications:

This consent allows the use of photos and video for promotional purposes, for the next 12 months and are not shared with 3rd parties.

Photo & Video Consent

Yes

No

I give consent for the Bridge Project Tadcaster and St John the Baptist Healaugh to store the personal data entered into this form until the end of the Holiday Club, July 27th 2018.

This data is stored securely and is not shared with 3rd parties.

Data Consent

Yes

No

reCAPTCHA

Signature *

• Draw It
• Clear

All forms have the option for fees to be paid online, please have a debit/credit card to hand when filling in the appropriate form. Cardholders must be present when making the payment.

If you have any questions please use the details on the Contact page.
Your details are not stored on this site and will never be shared with a third party.