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Moor Time Booking Form E - Stay and Play
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* Indicates required question
Email
*
Your email
Parent/carer's name
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Name of child/children of reception-age or younger with additional needs:
*
Your answer
School or preschool of child/children with additional needs (if applicable)
*
Your answer
If you are new to Moor Time, please give us a brief outline of their additional needs?
Your answer
Please list names and ages of any non-disabled siblings who will be attending (maximum 2 per family):
Your answer
Please choose the session(s) you would like to attend:
*
Wednesday 23rd July 3pm - 4.30pm
Wednesday 6th August 3pm - 4.30pm
Wednesday 20th August 3pm - 4.30pm
Required
Do you give consent for Moor Time to share photos taken at the session:
On the stay and play families Whatsapp group
On our public social media (Facebook, X and Instagram)
On flyers and other digital and printed marketing materials - we will always double check your consent before doing this.
None of the above
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