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Halloween Camp Senior Registration - Clontarf
Registration form for The Jam Drama and Art Halloween camp. October 27th - 30th, 2.30pm-4.30pm (age 4-7), Clontarf, Dublin 3
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Email
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Your email
Child's full name (if registering siblings, please include each child's name)
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Your answer
Child's date of birth
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MM
/
DD
/
YYYY
Child's date of birth (sibling)
MM
/
DD
/
YYYY
Parent/Guardian Name
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Your answer
Address
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Your answer
Phone number(s)
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Your answer
Emergency contact name and phone number (This should be different from parent listed above)
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Your answer
Does your child have any additional needs, medical conditions or allergies that we should be aware of?
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Your answer
Does your child have permission to walk home alone?
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Yes
No
Other:
We will be taking some photos during the camp. Do we have permission to share photos of your child on our website and social media accounts?
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Yes, The Jam may share photos of my child.
No, please do not post any photos of my child.
How did you hear about us?
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From a friend
Flyer
Social Media
Other:
Would you like to be informed of future events e.g. midterm camps, weekly classes?
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Yes, please let me know when you are running events in the future.
No, please do not contact me about future events.
Comments/further information
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