Holiday Club

Mow Cop
Community Church

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Mow Cop Community Church,  Top Station Rd,  Mow Cop,  Stoke on Trent,  ST7 3NY,  UK
Tel: (01782) 522180   email:mowcopchurch@tiscali.co.uk 

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Aged between 5 - 11 years?
Ready for excitement and intrigue?
Have you got what it takes to  become an M15 secret agent?

Don't forget  the prize giving and B.b.q. evening on
Friday 9th April at 6pm.  All invited

Secret Agents Bible Holiday Club

N.B. In order to receive an  m15 secret Agent prep pack, secret agents must be
registered  at the latest,  one week prior to the Secret agents club starting

Name of child

Age of child

Name of parent

Address

Postcode

Contact no.

2nd contact no.

Email

Permission given for first aid or medical to be given if required

Important health info. we need to be aware of :

Wednesday 7th April

Thursday 8th April

Friday 9th April

Permission given for child to be involved in holiday club photos and souvenir DVD

Please tick if you wish to be informed of future children's events

Please click on the boxes of the days your child will be attending the holiday club:

On submission of this registration form each new trainee secret agent will receive a secret agent prep pack from Secret Agent 'X' himself to prepare them for the mission ahead.

Session times 10am - 12.30 pm

First aid permission necessary or registration of place will be voided.

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