Sparks Autumn Term 2021
Please fill in this form to register your child to be a participant in this group. If you haven't already, you will also need to pay the termly fee either online, over the phone or at the box office. If your family are experiencing financial hardship and finances may be a barrier to your child attending the group, please apply for a bursary. For further information, please email
Please ensure payment is made or approval for a bursary confirmed by 29th September 2021.
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Which group is your child attending?
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Participant name
Participant address
Date of birth
Parent/guardian name and contact phone number
Parent email address
Emergency contact 1 name and phone number
Emergency contact 2 name and phone number
Please detail any medical, health, learning or support needs you would like to make us aware of
I confirm to agree to the following (please read carefully and tick all boxes to give consent):
Does your child have any dietary requirements, intolerances or allergies? If yes, please detail below
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