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AINSDALE VILLAGE CHURCH

The little church with a big heart

About us
Services/Events
- Other services
Youth
Activities
- Prayer
Job Vacancies
Hall letting
The Messenger
Community Garden
More

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Connect Registration

If you would like your child to attend Connect, please complete the registration form.

Young person full name

Date of Birth * required

School

Current school year

Young person address

Town

Post code

DETAILS OF ANY MEDICAL CONDITIONS, MEDICATION, OR ALLERGIES

DETAILS OF ANY DIETARY REQUIREMENTS

DETAILS OF ANY ADDITIONAL NEEDS

Parent/Carer name

Relationship to young person

Phone Number

Email

Details of alternative emergency contact

Thanks for submitting!

© 2026 Ainsdale Village Church

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