top of page

AINSDALE VILLAGE CHURCH

The little church with a big heart

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

Use tab to navigate through the menu items.

Connect Registration

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

Young person full name

Date of Birth

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!

© 2025 Ainsdale Village Church

bottom of page