The Ark toddler group – family registration form

Name *

First

Last

Email *

Phone number *

Address including postcode *

CHILD 1: name and date of birth *

CHILD 1: please tell us about any medical conditions, allergies or special needs *

CHILD 1: your relationship to the child *

CHILD 2: name and date of birth

CHILD 2: please tell us about any medical conditions, allergies or special needs

CHILD 2: your relationship to the child

Please use this space to tell us about any queries or special circumstances you'd like us to know about

Would you like us to let you know occasionally about other family activities at Clitheroe Community Church by email? *

Please tick to agree to the following *

We will use your details in running the Ark toddler group and to let you know about family events at Clitheroe Community Church if you have selected that option. We never share your details with anyone else unless required to do so by law. More details, including your data rights, are in our privacy notice.