Registration Form | Jubilee House Bedford

Name (Required)

Email Address (Required)

Relationship to Child (Required)

Child's Name (Required)

Date of Birth (Required)

School Year Group (Required)

Do you want to register more than one child?

Medical & Permissions

Allergies/Intolerance (Required)

Any known allergies or medical condition of note.

First Aid (Required)

In the unlikely event of illness or accident, I give permission for any appropriate first aid to be given to my child by the nominated first aider. I understand that every effort will be made to contact me as soon as possible.

Food & Drink (Required)

I understand that snacks and refreshments will be provided for my child and I am happy for my child to be served.

I do not want my child to be served.

If Yes, briefly list what you would rather NOT have your child served with.

Notes: If you are registering more than one child.

Please use this to provide the other children's name, date of birth and year group.

Terms & Conditions (Required)

I agree to promptly collect my child(ren) immediately after service ends.

I agree to keep my child with me if he/she has any contagious illness.

I understand that JUBIL8 team members cannot be held responsible for any items lost or left behind.

I agree for my child and my details to be entered into the JHB Church database.

Jubilee House Bedford

Suite S3, West One, 63-67 Bromham Road
Bedford MK40 2FG

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