Little Pebbles Annual Registration

Please complete this form once per academic year (September-July) to ensure we have up to date records about children and parents attending Little Pebbles at Cornerstone Liverpool.

Your name *

Email address *

Gender

Phone number *

Household members

Please add the details of anyone you are bringing with you to Little Pebbles

Please provide an emergency contact name and phone number below: *

Please tick this box to confirm that although we will do everything we can to ensure the safety of children who attend Little Pebbles, the full responsibility for the safety of children remains with the adult bringing them to the sessions. *

Please confirm you have read and understood our Privacy Policy, which is linked in the footer of the church webpages. At all times we aim to respect your information and keep it safe.

I agree for the Cornerstone Collective to use our data and contact me about any news, events and activities *

Yes

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