Child(ren) InformationName of Child(Required)Date of Birth of Child(Required) DD slash MM slash YYYY Sex of ChildMaleFemaleDo you have a second pre-school child coming to Little Stars? YesName of Second Child(Required)Date of Birth of Second Child(Required) DD slash MM slash YYYY Sex of Second ChildMaleFemaleDo you have a third pre-school child coming to Little Stars? YesName of Third Child(Required)Date of Birth of Third Child(Required) DD slash MM slash YYYY Sex of Third ChildMaleFemaleYour InformationYour Name(Required)Your AddressIf we can't meet in person, we might be able to provide at-home activities.Your Email(Required) Mobile Phone(Required)Phone 2If you use WhatsApp on a separate number and would like to receive WhatsApp messages about Little Stars (optional!)Emergency InformationEmergency Contact Name(Required)In case something happens to you while you are at Little Stars.Emergency Contact Phone Number(Required)In case something happens to you while you are at Little Stars.Your ConsentAre you happy for your personal details to be held so we can access your emergency contact information, should you be taken ill during Little Stars.(Required) Yes NoThis will be stored securely, and will be deleted after one year, unless you are still attending Little Stars and your details haven't changed.I consent to being contacted by King's Church High Wycombe regarding Little Stars where necessary (tick all that apply).(Required) Email PhoneYou can change your contact preferences anytime by emailing office@kchw.co.uk or ringing 01494 459 901.
