Please Complete the Form Below

Provision is made for maximum of two children per household. If you have two children, please could you fill the details of the second child in the "Anything else..." field at the bottom of the form. Thank you

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The details provided with this form will only be used for the purpose intended and not to share with a third party. Thanks

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RCCG REHOBOTH CHRISTIAN CENTRE CHORLEY is a registered charity in England with number 1171300

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