Please complete the following details to keep our records up to date. Thank you 🙂
Child’s Full Name
Date of Birth
School Year (if applicable)
Details of any medical information including allergies.
Details of any other important information.
Unfortunately, we are unable to take children to the toilet or change nappies. Please indicate here if your child is able to take themselves to the toilet or you need us to come and get you/they are in nappies.
Child can take themselvesChild in nappies/needs assistance
From time to time, we like to take photos to be used on the website, or as part of a service (e.g. a photo on the screen). Please select Yes or No as to whether you consent to us using an identifiable image of your child/ren.
Social Media (Facebook, Instagram, Twitter)
The Sunday morning livestream to YouTube and our church website
I consent to the above information being shared with Kids Church volunteers.
Your email address
Salford Elim Church
St. James Hope
3 Vicarage Close
07771 558 058
© 2022 Salford Elim Church
Elim Foursquare Gospel Alliance
Registered Charity 251549 (England & Wales) SC037754 (Scotland)
IMPORTANT UPDATE: Keeping each other safe at Salford Elim Church