Summer Club Registration Form

Please complete the online registration form HERE

General Data Protection Regulation, by registering you are agreeing to Giffnock Orchardlea Community Church storing your information either ellectronically or on paper. Giffnock Orchardlea Community Church is part of the Church of Scotland and we will not share your information with anyone outside that organisation. For further information regarding how we treat your information please see our privacy document on our website at :-

https://www.orchardhill.org.uk/about-us/privacy-policy/privacy-policy.php

Child's Name *

Address *

Parent/ Guardian's Name *

Home Telephone number

Parent/Guardian Mobile Number *

Email Address for summer club updates only. *

Second Emergency contact during club (Name, number relationship to child) *

Childs D.O.B. *

School *

Year Class after summer break e.g. P6, P4. *

Name and Number of childs G.P. *

Any illnesses or other medical conditions (e.g.Asthma) allergies/ medication which may affect normal activity? *

In the event of illness or accident, if neither I, nor the emergency contact can be contacted. I give permission for my child to receive any necessary medical treatment from a qualified First Aider or medical practitioner. *

I Agree

No I do not Agree

I understand that the Summer Club activities will take place in the Church Halls and grounds, with appropriate supervision. *

I Agree

I give permission for photographs to be taken, which may be used in Church or Orchardhill Parish Church or Orchardlea Community Church publications. *

yes

If there are any other details that you think we should know please enter them here.

My Child on Monday will be: *

Arriving 8:30am for Breakfast and Club on Monday

Arriving 10:00am for the Club only on Monday.

Not Attending on Monday

My Child on Tuesday will be: *

Arriving 8:30am for Breakfast and Club on Tuesday

Arriving 10:00am for the Club only on Tuesday.

Not Attending on Tuesday

My Child on Wednesday will be: *

Arriving 8:30am for Breakfast and Club on Wednesday

Arriving 10:00am for the Club only on Wednesday

Not Attending on Wednesday

My Child on Thursday will be: *

Arriving 8:30am for Breakfast and Club on Thursday

Arriving 10:00am for the Club only on Thursday

Not Attending on Thursday

My Child on Friday will be: *

Arriving 8:30am for Breakfast and Club on Friday

Arriving 10:00am for the Club only on Friday

Not Attending on Friday

Don't worry if you want to change the above Just let Lorna know a couple of days before. Youthandfamily@orchardhill.org.uk or Lorna@Orchardlea.org.uk

by checking this box you are electronically signing this form as a true statement and enrolling your child for the 2026 Summer Club

I Agree Please Enroll my child.

* Required Fields