-KIDS REGISTRATION CARD-

If you would like your child to attend Kids regularly, please complete a registration form. This is to comply with our child protection policy and to keep your child safe while they are in Kids.

Child's Name

First Name

Last Name

Child's Date of Birth

MM

DD

YYYY

Gender

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Medical Needs/ Allergies

Special Education Needs and/ or Additional information

Child's Doctor

GP surgery

Child's School

Name and Town

Parent/ Guardian name

First Name

Last Name

Relation to child

Parent/ Guardian mobile

Parent/ Guardian email

Email

I consent for my chid to take part in organised Kids activities/ visits

I consent to receive communications regarding Kids:

Please tick every option that you consent to receive communications through

via email

via phone

via txt

via post

We regularly take photos during Kids

I give consent for my child's photo/ image to be used in printed and online marketing

I understand that it is my responsibility to keep my child's record up to date. I understand that Sutton Vineyard accepts no responsibility for damage or loss of personal items brought into Kids. Signed:

First Name

Last Name

Date signed:

MM

DD

YYYY

By completing this form, you are consenting to the details you provide being added to Sutton Vineyard's database and used only for Sutton Vineyard's Kids ministry and mission. Your details will be securely stored and not disclosed to third parties. You can opt out of communications at any time - just let us know by contacting kids@suttonvineyard.org. For details on our privacy policy please see www.suttonvineyard.org