Mega Makers Child Registration

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Mega Makers Child Registration Form

* Indicates required field

Child's Name *

First

Last

Parent/Guardian's Name *

First

Last

Gender *

Male Female

Child's Date of Birth (dd/mm/yyyy) *

Child's Address *

Line 1

Line 2

City

State

Zip Code

Country

GP's Name *

GP's Telephone Number *

Any known allergies or medical conditions *

My child will be attending Mega Makers on *

All Monday 5th August 2019 Tuesday 6th August 2019 Wednesday 7th August 2019 Thursday 8th August 2019 Friday 9th August 2019

Paren't/Guardian's Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

To keep you updated on other Wave Kids events and activites. Your details won't be shared with anyone else.

Contact Number *

Emergency Contact Number *

I give permission for my child's details to be entered onto the Wave Kids database (information will be kept confidential and won't be shared with third parties) *

Yes No

I give permission for my child's picture to be taken during the club (the photos will be used for Wave Kids publicity only, such as on the website and newsletters) *

Yes No

I give permission for my child/ward (named above) to attend the Mega Makers holiday club and understand that if they fail to adhere to the clubs code of conduct, I may be called to collect my child early. *

Yes

Thank you for completing this form. All information will be stored securley and treated in accordance with the Data Protection Act 1998.

Submit

Who We Are
What We Do
Get Involved
- Volunteering
- Friends of the Wave
Safeguarding
Get in Touch

Wave Kids