Kidz First Registration Form

During the service, your children will be provided with a packaged snack. If your child has any allergies, please state upon registering.

We are looking forward to having your children with us.

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* 1. Please tell us the ages of the children you would like to register:

	Aged 2-4	Aged 5-6	Aged 7-10	Aged 11-13
Child 1	Child 1 Aged 2-4	Child 1 Aged 5-6	Child 1 Aged 7-10	Child 1 Aged 11-13
Child 2	Child 2 Aged 2-4	Child 2 Aged 5-6	Child 2 Aged 7-10	Child 2 Aged 11-13
Child 3	Child 3 Aged 2-4	Child 3 Aged 5-6	Child 3 Aged 7-10	Child 3 Aged 11-13
Child 4	Child 4 Aged 2-4	Child 4 Aged 5-6	Child 4 Aged 7-10	Child 4 Aged 11-13
Child 5	Child 5 Aged 2-4	Child 5 Aged 5-6	Child 5 Aged 7-10	Child 5 Aged 11-13

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* 2. Please enter the child(ren)'s names below (where applicable):

Child 1's Full Name:

Child 2's Full Name:

Child 3's Full Name

Child 4's Full Name

Child 5's Full Name

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* 3. Please tell us which Sunday you wish to attend

Attending On

Date

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* 4. Please let us know of any allergies the child(ren) may have:

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* 5. Parent/Guardian's First Name:

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* 6. Parent/Guardian's Last Name:

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* 7. Mobile No:

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* 8. Email Address:

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* 9. Here at Jesus House we take your privacy seriously and will only use your personal information to administer the Kidz First registration process. Details of how we use your data can be found in our privacy policy. Please visit www.jesushouse.org.uk/privacy

I consent