Growing Disciples - TESTING Parish of Shirley, Croydon

Is our monthly group open to children reception age and upwards.

Children will be collected and returned to the church during the 10am service.

Please fill out the registration form found on the website if you would like your child to join:

Registration and consent form Growing Disciples

Child's Full Name

First

Last

Date of birth

Full name of parent/guardian

First

Last

Child's home address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent's/guardian's mobile phone number

Parent/guardian's e-mail address

Family Doctor:

School and School year:

Does your child have any food allergies (please specify)?

Does your child have any medical conditions (please specify)?

Is you child on any medication (please specify)?

NHS number:

Details of last anti-tetanus injection:

Does you child have any special needs (please specify)?

Is there anything else you would like us to know about your child?

Alternative emergency telephone number:

Contact name and phone number of an alternative adult in case of emergencies:

Alternative adult's relationship to your child:

My child will be brought and collected from Growing Disciples

Please note that when Growing Disciples (Sunday School) are meeting during a church service, they will be taken out of church by their leaders at the beginning of the service and brought back into church towards the end of the service.

My child will be collected by:

Relationship to child:

Name of anyone NOT allowed to collect my child:

If you have any concerns about the above, please inform the Parish Safeguarding Officer

My child has permission to travel to and from Growing Disciples without me (children over 11 years)

In an emergency and/or if I am not contactable, I am willing for my child to receive medical or dental treatment including anaesthetic

I give permission for my child to attend Growing Disciples and take part in activities.