Name of child one

First Name

Last Name

Age of child one

Emergency contact name for child one

First Name

Last Name

Emergency contact telephone number for child one

(###)

###

####

Health-child one

Please give details about any health issues your child has, which I should be aware of. This should include details of any medication they may need to take during the workshop.

Reasonable adjustments-child one

Please let me know if there are any reasonable adjustments you would like to me to make, to meet any health needs of your child. Please note that I will aim to meet these if I can, and may call to discuss.

Departure-child one

What will happen when your child leaves the workshop?

Name of child two

First Name

Last Name

Age of child two

Emergency contact name for child two

First Name

Last Name

Emergency telephone number for child two

(###)

###

####

Health-child two

Please give details about any health issues your child has, which I should be aware of. This should include details of any medication they may need to take during the workshop.

Reasonable adjustments-child two

Departure-child two

What will happen when your child leaves the workshop?