Register Your Child – 3 and under

To register your children please fill out the form below.

Sugar-free juice and biscuits are provided. If you wish an alternative snack, or your child cannot drink from a cup, please provide a feeder cup and snack of your choice.

If your child requires something to make them feel secure, eg blanket, teddy, or toy, please bring it with you. Please label your child’s bag.

Please bring a changing bag with nappies etc as required.

Please note, if you wish to register more than two children, please email us at theufcsgathering@gmail.com

Name of parents/guardians

Church

Email Address

Parent/Guardian 1 telephone number

Parent/Guardian 2 telephone number

Workshops chosen

Name of child 1

Date of birth - Child 1

Gender

Age

Allergies/Dietary Needs

Favourite toys/activities/games

Does your child require a nap?

Is there anything that helps get them to sleep?

Name of child 2

Date of birth - Child 2

Gender - Child 2

Allergies/Dietary Needs - Child 2

Favourite toys/activities/games - Child 2

Does your child require a nap? - Child 2

Is there anything that helps get them to sleep? - Child 2

Is there anything else the play leader needs to know?

Name of adult collecting child(ren)

Acceptance

I, the undersigned, give my consent for my child(ren) to participate in the event. I understand and agree to the following:

My child will be under the supervision of responsible adults.
• In case of emergency, I can be contacted at the provided emergency contact number.
• I have disclosed all relevant medical information, allergies, and special requirements about my child.
• I have read and understand the event’s photography consent policy.
• I have read and understand the safeguarding measures in place.
• I understand that the event organisers have implemented appropriate safeguarding measures for the well-being of all children.

Name of parent/guardian

Photography consent

I give consent for my child to be photographed during the event for promotional purposes.