Sign Up to Baby & Toddlers - Holyrood Evangelical Church

Parent/Carer Name

Phone Number

Email Address

Home Address

Child’s Name

Child’s Date of Birth (YYYY-MM-DD)

Details of additional children attending (if required)

Emergency Contact

Emergency Contact Number

Any special instructions (eg allergies)

I understand that I am responsible for my child and will not leave him/ her unattended during the group

I have read the Holyrood Evangelical Church Privacy Policy (see link at bottom of this page)