Childrens / Youth session booking form

Please fill out the following health declaration form in order to participate in each session of children's or youth activities. Submissions are valid up to 24 hours prior to the activity.
We will hold this information in our secure database for at least 21 days to comply with NHS Test and Trace requirements. 
Is your child currently experiencing any flu-like symptoms, loss of taste or smell, or a new continuous cough?

You must not attend the group if you or your child develops any of the above symptoms, or if you are contacted after being in contact with someone with Covid-19 requesting you to self isolate.

Does your child have a temperature?

King's Church Centre

414 Coxford Rd,

Southampton SO16 5LL​

023 8078 5414

@2018 by King's Church, Southampton.