This form is to be completed in full by a parent or carer only, and covers all regular attendance at St Mary's Junior Church from September 2021 - August 2022.

Joining or re-joining Junior Church

Exciting news...Junior Church will reopen on Sunday 5th September!  

The sessions will also have a brand new format! After spending so much time apart, we still have our groups, but will be meeting together as one big Junior Church family to worship, learn about God, chat and catch with Him and (of course) have lots of fun!  

There will be more details towards the end of the holidays on all the practicalities of the sessions. In the meantime, to help us get ready, we would be hugely grateful if you could register your child NOW by filling out the form below. 

We cannot wait to see you!

Details of child:

Child's first name:
Child know as (if different from first name):
Child's last name:
Gender: Male
Home telephone:
Child's date of birth:
School year academic year 2021/2022:
Medical conditions / Additional needs:
Include any allergies (details of medication) and any additional support your child may need

Parent / carer contact details:

First name:
Known as (if different from first name):
Last name:
Relationship to child:
Mobile number:
Email address:

Media and electronic communication:

The church may also take photographs / video at groups which could include your child. They may be used to publicise further events or in church publications.  Any pictures or video taken will be used sensitively and in compliance with our Safe From Harm Policy, which is available to read here.
Do you give permission for photographs / video of your child to be used in printed material or in church services?
Do you also give permission for photographs / videos to be used on the church website and through the churches social media channels?


I understand that while involved he / she will be under the control and care of the group leader, and / or other adults approved by the church leadership and that, while the staff in charge of the group will take all reasonable care of the children, they cannot necessarily be held responsible for any loss, damage or injury suffered by him / her during or as a result of the activity.

I agree to remain on the premises during the time my child is taking par in junior church activities.

I agree for the church to hold the information provided on the church office database in accordance with the General Data Protection Regulation.  Please click here for details of our privacy policy.

I confirm that by clicking 'Send' I am submitting full and accurate information, that I am the parent / carer of the child named, and that I give permission for the child named to take part in the normal activities of the junior church groups.