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 a leader to bring my child to the toilet(Required)
The leader will walk your child to the toilets and wait outside the facility. If your child requires assistance using the toilet, please select no.
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Consent may be withdrawn at any time.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)
Date signed(Required)