Mighty Men

Mighty Men Registration

Mighty Men is a discipleship group for young lads with an emphasis on faith, fun and discipline. In the club we shall learn from the Bible, we shall play games and also teach a skill, from sports to practical skills, all is covered here at Mighty Men. It will be from 4pm-5pm every Monday during the school term.

Name of Child/Participant*
First Last
Date of Birth*
MM slash DD slash YYYY
Home Phone*
Does the child have any allergies?*
- Yes
- No
If Yes, please list any allergies & medications you may be taking:
Are there any medical or other issues that may prevent your child from participating in the activities?*
- Yes
- No
If Yes, please give us any details that will be helpful
Emergency Contact #1*
First Last
Emergency Contact #1 Phone*
Emergency Contact #2
First Last
Emergency Contact #2 Phone
Medical Treatment*
In the event of an emergency, and emergency contacts cannot be reached, do you give consent to seek medical treatment if it is necessary?
- Yes
- No
Consent*
I agree that the above information is accurate and give Niddrie Community Church consent for my child to participate
Name of Parent/Guardian giving consent*
First Last
Date*
MM slash DD slash YYYY

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