Cape Cornwall - Super Saturday 2018

Please provide two names and numbers. This is essential.

Personal Information: Please give details requested below:

Does your child suffer from allergies, diabetes, migraine, epilepsy, or any other illness or disability?*

Yes No

Is he/she allergic to anything (e.g. antibiotics, elastoplast, aspirin or any such medicines, any particular food/drink)?*

Yes No

Is he/she receiving any medical treatment at present?*

Yes No

In the event of an accident may anaesthetic be administered to your child?*

Yes No

Can your child be given paracetamol if necessary?*

Yes No

Does he/she have any special dietary needs? (please give details)

Educational Information

Please give details of any information teachers need to know in order to ensure your child can have fun and learn successfully:

Photo Consent

We may take photos of your child during their session. These photos may be used for marketing/educational purposes and shared with local press, on our website and in our newsletter.

Please confirm:

I give consent for photos of my child to be used for school purposes.*

Yes No

Emergency Contact Details

Personal Information: Please give details requested below:

Educational Information

Photo Consent

Parents will receive confirmation of their child's booking.