Explorers Holiday Club | Kids Sign-Up

Parents /Guardians Information

Parent / Guardian 1:

Name

Relation to the child(ren)

Phone

Alternative number (work or home)

Email Address

This address will receive a confirmation email

Parent / Gaurdian 2:

Name & Surname

Relation to child(ren)

Phone

Information of Child/ren

Child 1:

Name & Surname

Gender

Date Of Birth

Current Age

Any allergies, dietary requirements or special needs we should be aware of?

Current Grade

Name of school

Child 2:

Name & Surname

Gender

Date of Birth

Current Age

Any allergies, dietary requirements or special needs we should be aware of?

Current Grade

Name of School

Child 3:

Name & Surname

Gender

Date Of Birth

Current Age

Any allergies, dietary requirements or special needs we should be aware of?

Current Grade

Name of School

Medical Information

Family Doctor

Doctor's Telephone Number

Is your child(ren) on any chronic medication?

Yes No

If so, please provide details:

Emergency Contact Details

While we will take all resonable steps to care for your child(ren) while in our care, we require the details of at least one trusted person who we can contact incase we are unable to get hold of you.

Name & Surname

Cellphone Number

Relation to child(ren)

Consent & Indemnity

Activity & Medical Consent

I consent to my child(ren) participating in all the Holiday Club Programme activities.

Yes No

Do you consent to church staff and Holiday Club Programme volunteers seeking and obtaining appropriate medical treatment for your child(ren) in the event of an emergency if you cannot be reached in a timely manner?

Yes No

I acknowledge and accept full responsibility for my child(ren)'s participation and hereby understand that I cannot hold Journey Church's staff, and volunteers responsible for any loss, injury, or damages to property that may occur during the attendance of the Holiday Club Programme

Yes

Pickup Details

Please provide the names and contact details of any individuals authorised to pick up your child(ren), other than yourself.

Media Consent

Do you consent to photographs and/or videos of your child(ren) being taken during the Holiday Club programme and being used by the church for communication, promotional, and ministry purposes, including on social media, the church website, newsletters, and other church publications?

A payment can be made online at: https://pos.snapscan.io/qr/FpR284KJ or at the Information Desk on a Sunday. Please reference your payment as ""YOUR NAME_HOLIDAY"".

Please send your proof of payment via email to tamara@journeychurch.co.za or our WhatsApp line at 072 075 1091

BANKING DETAILS
First National Bank
Account Number: 62791627486
Branch Code: 250655
Swift Code: FIRNZAJJ

Electronic Signature (Typing your name here acts as your digital signature and confirms your agreement.)

Description

13 - 17 July 2026

A Bible focused week full of adventure, creation and discovery for children aged 9 - 13.

Every day strictly encompasses foundational Bible lessons, high-energy activities, dedicated small group mentorship blocks, and concert rehearsals.

Please see the details below:

Date: Monday 13 July - Friday 17 July 2026

Time: Drop off from 08:00 & pick-up from 14:00 - 14:30

Venue: Journey Church (Unit 5 Barnyard Complex, Club Street, Peacehaven, Vereeniging, 1930)

Cost: R150 per child

Theme: Legos

What to expect:
- Light lunch provided daily
- Games
- Craft activities

Please fill out this form and click submit.

Explorers Holiday Club | Kids Sign-Up

Description

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