Linlithgow Churches Holiday Club

Please fill out this form to register as an adult volunteer at holiday club 2012

Your Name *
Email Address *
Postal Address *
Postcode *
Telephone number *
Church attended *
Have you helped at holiday club before? * Yes No
If yes, what was your role?
When can you help? * Monday 23rd July Tuesday 24th July Wednesday 25th July Thursday 26th July Friday 27th July
What role would you like to have this year? * Group leader Group helper Craft team Drama team Technical team (sound, projection etc) Games Refreshments Registration Up front team
Which age group would you prefer to be with? * Sparklers (pre-school) Allstars (P1-P2) Allsorts (P3-P5) XChange (P6-S1) N/A
Please list any skills and experience you feel you will bring to the holiday club *
Do you have a disclosure check? * Yes for St Michael's Parish Church Yes for St John's Evangelical Church No
Do you have a current first aid certificate? Yes No
Do you have any pre-school children who would like to attend sparklers? Yes No
If yes please give their names and date of birth