RUGGA CUBS Sign Up Form

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Registration for Holiday Club February Half Term 26

Child's Name *

Child's D.O.B *

School Attended *

Parent/Guardian Name *

Parent/Guardian Contact Number *

Email Address *

Emergency Contact details (If different from above)

Does your child have specific medical conditions we need to be aware of? *

Does your child have any specific dietary requirements/allergies? *

Is there anything else u feel we need to know about your child? *

Which sessions would you like to sign your child up for? (£10 per session) *

Thursday 19th Feb

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