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Parental Consent Form

C.C.C.G

12, Quarry Street

Coatbridge

ML5 3PU

Kids Summer Sessions 2025


Parental Consent Form

 

Date of Birth
Day
Month
Year
Adress

In case of emergency, I authorize the organisers of the summer program to seek medical treatment for my child if deemed necessary. I understand that every effort will be made to contact me or the emergency contact listed above in such situations.


Next of Kin Contact Information:

Parental Supervision and Pick-up Time:

 

Parents are welcome to stay and sit in the community cafe. If a parent chooses to leave their child unsupervised, they must ensure that their child is picked up by the agreed time of 1:00 PM.

 

I understand that it is my responsibility to inform the organisers of any changes to the information provided in this form. CCCG do not take responsibility for child/children’s personal belongings. We advise to have name labels on any personal items.

To confirm compliance of above:

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Cliftonville & Coatdyke Community Group

Connecting Communities, Creating Growth

Coatbridge Community Stadium

12 Quarry Street, Coatbridge, ML5 3PU, United Kingdom

admin@cliftonvillecommunity.co.uk

01236 428641

Charity Number SC050029

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OPENING TIMES 20th April - 20th June

Monday 10am - 9pm

Tuesday & Wednesday 10am - 2pm (evening open for classes only)

Thursday 10am - 9pm

Friday 10am - 9pm (evening functions only)

Saturday 10am - 2pm (evening functions only)

Sunday - Closed (functions only)

CAFE OPENING TIMES 

Monday - Friday 10am - 2pm

Saturday 10am - 2pm

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