Kids Church Registration Form

Child and Parent Details

Thank you for registering your child for Kids Church at St Peter’s Church Stevenage. Please fill a separate form for each child you are registering.

We will require a renewal whenever your or your child’s details change and every September.

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* 1. Child’s full name

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* 2. Child’s date of birth

DD/MM/YYYY

Date

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* 3. Parent / Guardian's Name

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* 4. Parent / Guardian's contact telephone number

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* 5. Parent / Guardian's home address

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* 6. Parent / Guardian's email address