Kings Kids: Attendance Pre-Registration

Registration Form
Surname:* Dad's First Name:
Dad's Mobile Number: Dad's Work Phone:
Dad's Email: Mum's Last Name:*
Mum's First Name:* Mum's Mobile Number:*
Mum's Work Phone:* Mum's Email:*
Home Phone 1:* Home Phone 2:
Address:* Address 2:
Town:* County:*
Post Code:* Parent/Guardian?

Child's Surname:* Child's Birthday:*
Child's Name:* Child's Gender:*

Child's Surname:* Child's Birthday:*
Child's Name:* Child's Gender:*

Child's Surname:* Child's Birthday:*
Child's Name:* Child's Gender:*

Child's Surname:* Child's Birthday:*
Child's Name:* Child's Gender:*

Child's Surname:* Child's Birthday:*
Child's Name:* Child's Gender:*

Details of Child(ren) Special Needs: Details of Child(ren) Allegies:
       
I give permission for my child/children to be photographed, filmed for birthday parties or publicity purposes and records kept for administrative purposes.
       
I PROMISE TO ABIDE BY THE PUBLISHED RULES AND REGULATIONS OF THE KINGS KIDS MINISTRY.
       
  KICC intends to fulfil its obligations under the Data Protection Act 1998 (the Act). They will ensure that all processing of data falling within the scope of the Act is appropriately notified to the Information Commissioner.  Individuals whose information is held and processed can be assured the information will be maintained in confidence and treated with all due care.  We try to keep information held about you accurate and up-to-date. However, if you find any inaccuracies you have the right to have them corrected.