Nova Street Easter 2023 - Torquay
Booking and consent form for Nova Street @ Torquay. Please complete 1 form per child.

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Email *
Child's First Name *
Child's Last Name *
3. Child like to be known as
4. School
5. School Year *
6. Parent/Carer name and contact *
7. Second Emergency Contact Name and Number, and relationship to child *
8. Which dates would you like to book your child to attend Nova Street Summer Sessions? (Times are 12:00-16:00) *
9. Does your child receive free school meals?
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10. Emily can take part in all activities, no health problems or medication  no
11. Does your child suffer from any allergies? Please state.  No *
12. Does your child have any dietary requirements?  No *
13. Is your child able to manage their own self care?
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14. Are you happy for your child to make their own way home?
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15. In an emergency, and if I am not contactable, I am willing for my child to receive hospital treatment, including an anaesthetic. (NB: The leader of the activity would always try to contact you in the first instance.) *
16. I give permission for photos and video to be taken by the team members of my child during the sessions that may be used for marketing or publicity purposes - these may be shared with the school, on social media and the wider community. *
17. I give permission for representatives of LOVE ENTERPRISE GROUP CIC to share information that relates to my child with children's services (who fund this programme) for reporting purposes. *
18. I understand, for the data captured on this form to be stored as a hard copy with an electronic copy on a secure cloud storage system that can be accessed and utilised when necessary by coaches, other volunteers and team members in the case of an emergency or for updating, marketing and informing on matters relating to LOVE ENTERPRISE GROUP C.I.C and promoting events of interest by it’s partners. (to withdraw consent please email: *
19. Signature of Parent  (typing your name is sufficient) *
If any illness occurs after having sent this form, please give written details to your child to bring with them to the sessions.
Thank you for completing this booking form.
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