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Booking Form    

 

Kingdom Builders flyer w sign

 
10am-12.30pm Mon March 30 - Wed 1 April
£5 per child, per morning or 3 mornings for £10

  Please fill in form - ONE name per form - and then press Send. This will secure your child's place. Payment in advance is preferred as this means less admin in the morning and more craft time! Please make payments to:


Purley Baptist Church
Sort code 40-37-29
Account 51445472
Reference E&CYourSurname

Child's Name
Date of Birth
Age (years)
School Year: Reception - Year 6
Male  Female   

 

Name of Parent/Carer
= Emergency Contact
Telephone
Mobile
Email Address
Parent/Carer 2: Name
Parent/Carer 2: Phone

 

I give permission for my child to be given medical treatment by the nominated First Aider. Yes  No   

Does your child have SEN or EAL needs? Yes  No 
This will help us fully support your child and will NOT effect your booking. 		  
If Yes, please describe.  
 
Does your child have any food allergies? Yes  No   
If Yes, please describe.  
 
Does your child have any medial needs? Yes  No   
If Yes, please describe.  
 
I consent to images of my child, named above, being used and stored for internal church purposes.
I understand that the identity of my child will be protected at all times. Yes  No 		  

I consent to Purley Baptist Church contacting me regarding future children's events. 		  

I consent to Purley Baptist Church processing my personal data for church use only. To withhold your consent, please contact the Church Office on 020 8668 0422. 		  


 
KidsWork, 27/02/2026
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