Holiday Club registration

Registration and Consent Form 13th to 15th April 2026

Child's Name

Date of birth

Home Address, including postcode

School and Primary

GP’s name & Practice

GP’s tel no

Days Child will attend:

Days the child will attend

All Monday Tuesday Wednesday

Any known allergies, dietary needs or health problems (juice & biscuits will be served daily)

Additional Support Needs

Name of Parent/Carer

Mobile number

Landline number

Email address

Name of alternative emergency contact

Emergency Mobile number

Emergency Landline number

My child may be collected by

Parental Consent

In the event of illness or accident, by submitting this form online, I give permission for any necessary treatment to be given by the nominated first aider.

In an emergency and if I can’t be contacted, I am willing for my child to receive hospital treatment, including anaesthetic if necessary.

I understand that every effort will be made to contact me as soon as possible.

Parental Consent

Check this box if you are happy for us to use photographs of your child taken at the holiday club for Park Church and St Ninians Old Parish Churches’ publicity (including Facebook pages). Photographs will always be respectful in their nature with no link between your child’s image and their personal details.

By submitting this form online, I consent to the Churches using the personal information provided for the purpose of running the holiday club. The information supplied on this form will be kept securely by our Churches on a database and used for this holiday club only. It will not be disclosed to any third parties.

Our Privacy Policy can be viewed on the Park Church website ( parkchurchstirling.org ). You can withdraw consent at any time by contacting our Data Protection Officer via parkchurchstirling@gmail.com.

Park Church Stirling – Scottish Charity Number SC001414

Park Church, Stirling

Tel : 01786 462400

Holiday Club registration

Registration and Consent Form 13th to 15th April 2026

Parental Consent

Quick contact

Quick Links

Follow us

Contact us

Call the Minister

Or dial: 01786 478269

If there is no answer and you require a call back URGENTLY, please type in your phone number in the box below and hit “Request Call Back”

Announcing

2019 collection

Subscribe to our newsletter