Stainton Church

Please enter or update below the information about you that we may hold on you.
The first part of the Form asks for your contact details etc.
Lower down we ask for information if you attend the Coffee and Kids Toddler Drop-In or the Hilton Filling Station, or if you are a member of a Church other than Stainton Church.
At the bottom of the Form we ask you to indicate how we may contact you (Post; Phone; Text; E-mail).

You can find out how we use your information on the Data Protection page of the Church website by clicking here.

* indicates required

Email Address *

First Name *

Last Name *

Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Landline Phone Number

Mobile Phone Number

If you come to Coffee and Kids

Please leave the box blank and complete the fields below

1st Child's First Name

1st Child's Last Name

1st Child's DoB

2nd Child's First Name

2nd Child's Last Name

2nd Child's DoB

If you belong to a Church other than Stainton

Please give the name of your Church

If you come to Coffee and Kids

Tick the box for "Yes"

May we publish photos in which your child appears?

On the Church website?
On the Church Facebook page?

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