AFTERSCHOOL FORM



CHILD’S DETAILS

Name*

Date of birth

Age*

Gender MF

School

PARENTS / GUARDIAN DETAILS

Title MrMrsMs

Name*

Relationship*

Address

Home tel

Mobile n°*

Work tel

Email address*

MEDICAL INFORMATION

Name of Doctor

Tel n°

Address

RELEVANT MEDICAL INFORMATION

None

WHO WILL BE COLLECTING YOUR CHILD FROM THE CLUB?

Name*

Relationship*

Home tel

Mobile n°*

DISCLAIMER FORM* VIEW

By clicking this box, the signatory expressly agrees and declares that he/she has voluntarily accepted all the matters, including all the risks, responsibilities and obligations, to which it refers

TERMS AND CONDITIONS* VIEW

By clicking this box you have read and understood all the terms and conditions*

TICK BOX If you would like to be added onto mylittleboarders mailing list.

 

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A copy of this form will be sent to the parents / guardian email address