Please enable JavaScript in your browser to complete this form.Child's Full Name *FirstLastChild's Date of Birth *Gender *MaleFemaleAddress *Email *Daytime Contact Number *Emergency Contact Number *Parent/Guardian Name *FirstLastMedical Conditions *Days Attending *Monday 12th JulyTuesday 13th JulyWednesday 14th JulyThursday 15th JulyWednesday 21st JulyThursday 22nd JulyPlease ensure you select the days that your child will be attending. Monday 19th and Tuesday 20th have been cancelled due to insufficient numbers. Photographs may be taken of the children and staff to be used as promotional material only. Please indicate below if you consent or not for your child to be included.Yes I do consent to photos/videos being taken of my child during the programmeNo I do not consent to photos/videos being taken of my child during the programmePhoneSubmit By filling out and submitting this form, you accept to the Terms of Conditions written here.
