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Mini Medics Summer Holiday Registration Form
DUE TO UNFORESEEN CIRCUMSTANCES, THESE SESSIONS ARE NO LONGER RUNNING THIS HOLIDAY.
APOLOGIES FOR ANY INCONVENIENCE.
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Parent / Guardian name *
Contact number *
Email *
Child's name *
Child's DOB *
MM
/
DD
/
YYYY
Does your child have any allergies? *
Please give details of any allergies if you answered 'yes' to the previous question. *
Does your child have any medical conditions? *
Please give details of any medical conditions if you answered 'yes' to the above question. *
Which dates will your child attend?
Please note the cost if £10 per session, or £40 for a block booking of 5.
 *
Required
Dietary restrictions *
Please provide a password that can you used when you or a nominated person are collecting your child. *
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