Minecraft Registration Form 2019
PLEASE NOTE: If dates are not shown this is because they are now fully booked.

Your details will be held securely and not shared with any 3rd party.
Email address *
Dates you would like to book *
Please choose the dates you'd like to book in for
Required
Child's First Name *
Your answer
Child's Surname *
Your answer
Child's Age *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
House Number *
Your answer
Street Name *
Your answer
Town *
Your answer
Postcode *
Your answer
Parent / Carer Name *
Your answer
Parent / Carer Mobile Number *
Your answer
Parent / Carer Home Telephone Number
Your answer
Parent / Carer Email Address *
Your answer
Emergency Contact Name *
Additional Person to Parent / Carer
Your answer
Emergency Contact Mobile Number *
Your answer
Medical Information *
Please include allergies / medication details
Your answer
Does your child have any learning difficulties? *
Yes or No
Your answer
If yes, please specify
Your answer
How did you hear about us? *
Photography Consent *
Do we have your consent to take photographs of your child to be used on the New Ways to Learn website/facebook/twitter to be used for marketing and sharing best practice.
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