Registration Form
Children’s Christmas Activity Day
Saturday 8th December, 10.30-3.30pm at Little Paxton School

Leave your children to have fun with us while you take a break or go Christmas shopping.
We have lots of activities planned to keep them busy.
Refreshments will be provided but please send a packed lunch with your child (no nuts please).

All our leaders are DBS checked
Admission is free.

Child's full name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current School Year *
Address *
Please complete your full address and postcode.
Your answer
Home email address *
Your answer
Contact Name 1 *
Full name of a first contact
Your answer
Contact Number 1 *
The phone number to get hold of contact 1
Your answer
Contact Name 2 *
Full name of a second contact
Your answer
Contact Number 2 *
The phone number to get hold of contact 2
Your answer
Medical Authorisation *
Required
Information
Relationship to the child *
Your answer
Dietary / Disability / Medication
Please give the details we should be aware of pertaining to allergies, special dietary requirements, illness or disabilities and medication
Your answer
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