Summerkidsclub

'For any more information please contact Laura at campaignersni.development@gmail.com'

Please Complete This Registration Form Below. (If using an Apple device please use google chrome or other web browser when filling in the form as Safari may not work)

* Indicates required field

Child(rens) Name *

First

Last

Age *

Child(rens) Name *

First

Last

Child(rens) Name *

First

Last

Age *

Age *

Email ( please double check this is correct as this is how each club will be shared) *

Full Address & Postcode *

Does your Child(ren) attend a Campaigners Clan? if so which one? *

Does your Child(rn) attend a local Church? If so, which one? *

Would you like us to keep in touch about any further event or campaigners activities that might interest your Child(ren)? *

Yes No

HOW DID YOU HEAR ABOUT OUR SUMMER KIDS CLUB? *

Church Facebook Family / Friends Campaigners NI Website

Submit