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 *
Child's Surname *
Child's Age *
Child's Date of Birth *
MM
/
DD
/
YYYY
House Number *
Street Name *
Town *
Postcode *
Parent / Carer Name *
Parent / Carer Mobile Number *
Parent / Carer Home Telephone Number
Parent / Carer Email Address *
Emergency Contact Name *
Additional Person to Parent / Carer
Emergency Contact Mobile Number *
Medical Information *
Please include allergies / medication details
Does your child have any learning difficulties? *
Yes or No
If yes, please specify
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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