consent form

First name

Last name

Child's Date of Birth

Country/Region*

Address*

Address - line 2*

City*

Zip / Postal code*

Phone*

Short answer

Call Pastor Greg Cruse on 01934 876735

We meet at:

Horsecastle Chapel,

Horsecastle Farm Road,

Yatton, BS49 4QQ

Phone 01934 833486

Thanks! Message sent.

bottom of page