Supernova logo

A free club for children in years R-6 on Monday afternoons. Supernova provides a safe space for children to play and create as well as learn more about the Bible and themselves. 

Supernova runs during term times on Monday afternoons. Children can be dropped off from 3:15 and picked up between 4:30 and 5pm. Children attending Supernova are also invited to participate during our Celebration services throughout the year. 

If your children will be attending Supernova, please fill in the form below. 

Info and Consent Form


Child Information
Name of Child:

Child's Date of Birth:

Child's Address:
Address:
 
 
Town:
Postcode:

Parent Information:
Parent Name:
Parent Phone Number:
Parent Email:

Medical Information:
GP Name:

GP Address:

GP Phone Number:

Details of any regular medication, medical condition (e.g. asthma, epilepsy, diabetes, allergies, dietary needs, etc.) or disability which may affect normal activity:

Details of any neurodiversity, condition or special need of which you would like us to be aware. There is no requirement to volunteer any information you would prefer to keep private.


Permissions:
 I give permission for my child to attend Supernova.  I understand that while involved he/she will be under the control and care of the group leader and/or other adults approved by the church leadership and that, while the staff in charge of the group will take all reasonable care of the children, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child during, or as a result of, the activity.
 In an emergency and/or if I am not contactable, I am willing for my child to receive doctor/hospital or dental treatment including an anaesthetic and blood transfusions.
 At Supernova we may take photographs or video of children for display in the church or on our social media platforms only. 
Please untick if you DO NOT wish your child to be photographed or videoed.  No pictures or film will be published elsewhere on the internet.
 Do you consent for your phone number to be added to a Holiday Club parent's WhatsApp group?