Contact 1 — Being Built Together

WELCOME!

Please fill out this form with all your information to be added onto our database. Your child’s information is kept confidential and is really helpful for our team.

Child's Information:

Child's Name:

Child's Date of Birth

Child's Gender

Girl

Boy

Child's Home Address

Medical Notes

Allergies/ Dietary Requirements/ Additional Needs

Are you OK with BCC taking film footage / photos for our publications, website and social media?

We will always let you know if we will be taking photos/ videos in a BCCKids session.

YES

Notes

Parent / Guardian Information:

Parent / Guardian Name

Phone Number

Home Address

Nationality

BCC has over 90 nationality's that attend our church and we'd love to know where you're from.

I accept your Data Privacy Notice

WELCOME!

Birmingham City Church