Emmanuel with St Paul's
serving Mannamead and Efford, Plymouth

Emmanuel (with St Paul's) Registration

Please take the time to register your details with us. If you are registering a child or young person, please fill out the form with their details, including the section 'For children & young people only'. You can add your name as parent/guardian in the Emergency Contact box.

Basic Details
* First Name:
* Last Name:
Date of birth:
/ / (dd/mm/yyyy)
* Email Address:
Alternative Email Address:
Line 1:
Line 2:
Town / City: City:
County: State:
Postcode: Zip code:
Phone Numbers
Privacy Settings
If I appear in the secure online address book, other members can see:
For children & young people only
List of children to appear in Yellow Pages (?)
Please list any allergies (including foods) (?)
Dietary requirements (other than allergies) (?)
Please list any medical conditions or disabilities (?)
Permission for publicity photos involving child (?)
Permission to attend to child for minor injury? (?)
Current School Year (if applicable) R, or 1-13 (?)
Emergency Contact No. (if not listed in profile) (?)
I would like to register for the following areas of the site:

Any Additional Information (optional)
Please include any additional notes or comments which would help us process your registration more quickly:

Please read our Privacy Policy to find out how we use this information.

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