Registration

Full name of child *

Age of child *

Childs date of birth *

School child attends *

Name of parent/guardian *

Contact number *

Contact email *

Second contact *

Second contact number *

Second contact email *

After class arrangements *

Please give details of who will pick up your child

Any medical conditions or allergies we need to be aware of *

Do you give consent for first aid to be given in an emergency? *

Do you give permission for your child to be in photographs and videos that we may use for social media, website and promotional material? *

Class required *

Name of parent/guardian completing form *

Add to mailing list

GDPR Agreement *

I consent to have this website store my submitted information so they can respond to my enquiry.

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