I enclose £15, and understand that this information will be stored and used only in conjunction with St Lawrence Holiday Club Signature of Parent / Guardian: Date: 1-4 August 2017, 9:30-12:30, for children aged 4-11 Children registered before 30th June are guaranteed a free T-shirt at the Summer Club Spaces are limited, so apply now! Book Online, or send the application form with £15 (Maximum £30 per family) to: Clare Heath-Whyte, Summer Holiday Club The Rectory, London Road, Morden, SM4 5QT Cheques made payable to 'St Lawrence Church PCC' To book ONLINE: stlm.uk/summerclub For more information contact: Clare Heath-Whyte, 020 86483920 [email protected] N.B. At St Lawrence we take child protection very seriously. All leaders and helpers are DBS checked. Holiday Club Application Form 2017 I would like to come to the Summer Holiday Club Name of Child: Date of Birth: School: School year (now): Size of T-Shirt (Circle the size to fit your child): 3-4 5-6 7-8 9-11 12-14 Allergies / Special medical needs: [Optional] Please give the name of a friend OF THE SAME AGE they'd like to be in a group with: Name of Parent / Guardian: Address & Postcode: Email: Mobile: Please let us know if you will be unable to come on a particular day. Please turn over to sign this form…
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