Please complete this form for you child, if you are trying to register more than one child complete again for each child individually.
Child's Full Name*
Address Line One*
Address Line Two
Town*
Postcode*
Contact Number 1*
Contact Number 2
Email*
Confirm Email*
School*
Age*
Parental Consent & Health
Does your child have any know allergies/recent injuries or illness, which may affect participation in any activities?
Does your child have any special dietary requirements?
Please state any medication taken by your child
I agree that he/she may be administered paracetamol (or similar) by a member of staff should it be neccessary*
Yes
No
I agree that he/she may recieve emergency medical treatment, including anaesthetic, as considered neccessary by the medical authority present?*
Yes
No
Terms & Conditions
I have read & I accept all terms & conditions and I have declared on this form all medical conditions or treatments that he/she suffers from or requires to maintain his/her health:
Fields marked with a * must be completed
