City Kids Registration

Child's Information

Child's name(Required)
Child's date of birth(Required)
I give permission for my child to receive a snack during City Kids.(Required)
I give permission for photographs/video to be taken of my child while involved in City Church Dublin activities.(Required)
Consent may be withdrawn at any time.
I consent to City Church Dublin using appropriate images of my child for social media, hardcopy, and/or online publications. These may also be retained for continued use.(Required)

Parent/ Guardian Information

Parent's / Guardian's full name(Required)
I consent to receiving emails from City Church Dublin(Required)
You can unsubscribe at any time


I confirm that I have given my consent for my child to attend the children's programmes at City Church Dublin ("City Kids" / "City Toddlers")(Required)
I will inform City Church Dublin if any of the information concerning my child changes(Required)
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Date signed(Required)