Thank you for booking.

Name of person filling in this form

Relationship to young person/people you are filling the form for

E.G. Mother, Father, Guardian, Other

Please confirm what venue(s) you have booked for

How many children are you filling this form in for

Name of main emergency contact

Phone Number of Main Emergency Contact

Email Address of Main Emergency Contact

Name of Second Emergency Contact

In case we are unable to get hold of the main contact a second emergency contact is required.

Phone Number of Second Emergency Contact

In case we are unable to get hold of the main contact a second emergency contact is required.

Email Address of Second Emergency Contact

In case we are unable to get hold of the main contact a second emergency contact is required.

Child Full Name

Child Date of Birth

Address and Postcode of Child

Does your child have any medical conditions?

Does your child have any SEND?

Does your child have any dietary requirements?

We may look to take photo's that will go on our social media. Do you consent to photo's being taken of your child?

Is there any other information that could be helpful?

You may now click the submit button

Thank you for filling in this form, please advise us ASAP of any changes to the details in this form.

PLEASE CALL OR EMAIL OUR FRIENDLY TEAM ON

01455 393404

.