Name of child

First Name

Last Name

Age of child

Emergency contact name

First Name

Last Name

Emergency contact telephone number

(###)

###

####

Health

If there is further information about any health issues your child has, which you did not give at the time of booking, please give details here. This should include details of any medication they may need to take during the workshop.

Reasonable adjustments

If there is further information about any reasonable adjustments you would like to me to make, to meet any health needs of your child, which you did not give at the time of booking, please give details here. Please note that I will aim to meet these if I can, and may call to discuss.

Departure

What will happen when your child leaves the workshop?

Thank you for providing these details. All information is stored securely and permanently deleted after the workshop. I will be in touch if I have any questions.