AFTER SCHOOL CLUBS

CHILD’S DETAILS

NAME
DATE OF BIRTH
AGE
 M    F
SCHOOL


PARENTS / GUARDIAN DETAILS

NAME OF PARENTS / GUARDIAN
TITLE
RELATIONSHIP
ADDRESS
HOME TEL
MOBILE TEL
WORK TEL
EMAIL ADDRESS


MEDICAL INFORMATION

DOCTOR'S NAME
TEL NO
ADDRESS
RELEVANT MEDICAL INFORMATION
NONE
DETAILS

FILMING
During the session we usually have the opportunity to film your child to show you how they are progressing. The clip is usually in slow motion and lasts around 3 seconds long and focuses on your child. We send this clip via Dropbox to the parents of the children booked on that day and then it is deleted from our records. We do not use it for any other purpose (unless you give us permission) as we have a very strict Social Media policy.

Please tick the box below to confirm that you would NOT like your child to be filmed for this purpose.
If you do NOT tick the box we understand you are happy for your child to be filmed in a clip to be sent to you via Dropbox:

I/We DO NOT consent to my child be filmed at all during the day.

WHO WILL BE COLLECTING YOUR CHILD FROM THE CLUB?

NAME
RELATIONSHIP
HOME TEL
MOBILE TEL


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 click this box you have read and understood all the terms and conditions.
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