MakeLunch 2018

Please complete this form for all children who wish to attend in April 2018


Child's name::*
Child's DOB::*
Child's School :*
Child 2:
Child 2 DOB:
Child 3:
Child 3 DOB :
Child 4 :
Child 4 DOB :
Child 5 :
Child 5 DOB :
Eligible for Free School Meals :*
Yes
No
How did you hear about us?:
Attended previously
Facebook
Twitter
Church Website
Word of Mouth
Referral
Does your child have any medical conditions or allergies?:*
Please provide us with any dietary requirements your child has::*
Do you give permission for your child(ren) to have their photo taken? These images may be used for the promotion of MakeLunch: All Souls Springwwood :*
Yes
No
Would you be happy for images of your child to be used for the promotion of MakeLunch, the national initiative that MakeLunch: All Souls Springwood is part of and the church, deanery, diocesan and national CofE. This may be social media, web & print.:*
Yes
No
Name of Parent / Carer :*
Relationship to child::*
Address:*
Telephone::*
Email::
Enter name to confirm: I agree for the child(ren) on this form to take part in the activities of MakeLunch:All Souls Springwood. I have provided all known information about health conditions, medications and allergies.:*
MakeLunch: Springwood, All Souls is overseen by All Souls Church, Liverpool. Please tick below if you are happy for the church to contact you with other information about services and events held in the church and church hall:
Phone/Text
Email
Which MakeLunch sessions do you plan to attend?:*
2 August
9 August
16 August
23 August
30 August
:
Please enter the verification number on the right:*
four four three six two
* Required Fields

Bookmark and Share