Welcome to Heroes Academy 2017!

Please just click the button below to sign up.
3....2....1.....
...Lift off!
 
Firstly we just need some information about your child.

If you have multiple children coming to Heroes, you'll need to fill in this form for each one (sorry!) - however, you don't need to fill in the parent/guardian information each time (phew!).
 
What is your child's first name? *

 
What is your child's surname? *

 
What is your child's date of birth? *

 
Which school does your child attend?

 
Which school year was your child in this year (the school year 2016/17)? *


 
What is your child's gender? *


 
If your child has any medical conditions, please list them here (if not, leave this question blank).

If there's anything else you want to let us know in more detail about caring for your child, do feel free to contact Amanda Lansdowne, at amanda@christchurchsouthampton.org.uk.
 
Please could you read the following statement below and confirm that you agree with it:

"In the unlikely event of illness or accident, I give permission for any appropriate first aid to be given by the nominated first-aider. In an emergency, and if I cannot be contacted, I am willing for my child to be given hospital treatment, including anaesthetic if necessary. I understand that every effort will be made to contact me as soon as possible. I understand that photographs and video footage may be taken during the event to show to parents and for publicity purposes. No names will be used. I agree to contact you by email if I would prefer such images not to be used." *




 
We just need a bit of info about you now:


(but if you've filled these questions in for another child already, you can leave them blank. The next question you need to fill in is question 17)
 
Parent/Guardian first name?

 
Parent/Guardian last name?

 
What is your address? *

 
Emergency Phone Number

 
Are you part of a local church?


 
If you answered, 'yes' above, which church are you a part of?

 
How did you hear about Heroes Academy?


 
I have read the above information and I give my permission for the named child to take part in Heroes Academy 2017. *


 
We'll be contacting you shortly with more details, but in the meantime, if you have any questions, please contact Amanda Lansdowne, the Children's Pastor, at amanda@christchurchsouthampton.org.uk.

Dont' forget to click 'Finish' below, and then complete another form for any other children you are bringing.

You can start another form here: https://ccs4.typeform.com/to/ZspARO
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