Kids Club Registration

Please complete the registration form. The form has space to register 3 children, however, if more are required please use the 'message' box. Thank You!

Parents / Guardians Name

First Name

Last Name

Email Address

Mobile Number

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Message (Optional)

First Child

Name

First Name

Last Name

Date of Birth

Gender

Second Child

Name

First Name

Last Name

Date of Birth

Gender

Third Child

Name

First Name

Last Name

Date of Birth

Gender

Wardley Christadelphians

Thorne Avenue, Wardley
Gateshead, England, NE10 8TE
United Kingdom