Monster Turkey Goes back to the 80's
First Name *
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Date of Birth *
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Email Address *
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Name of School *
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Name of Church
if applicable
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Medical Details
Doctor's Name *
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Doctor's Telephone *
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Surgery Address *
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Does your child have asthma? *
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Does your child have any allergies? *
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Does your child have any specific dietary needs? *
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Does your child have any regular medication? *
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Will your child have any medicines or tablets with them? *
(If a leader is to administer this it needs to be labelled with the child’s name and dosage details)
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Additional information for the above questions
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Emergency Contacts
Name of Parent/Guardian 1 *
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Emergency Telephone Number 1 *
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Email address 1 *
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Name of Parent/Guardian 2 *
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Emergency Contact Telephone Number 2 *
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Email Address 2 *
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Name of person purchasing the ticket *
Please put the name that will appear on the transaction for the payment on the ticket
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Type of ticket *
please tell us if you are staying until 11pm or all night
• I give permission for name person above to attend and take part in the activity stated above. • I give permission for photos and video to be taken of the participant during the stated activity, and for those photos and video to be used in short films and publicity for OCC purposes. • I give permission for the participants contact details to be held on the OCC Youth Database, and to be contacted periodically with information concerning forthcoming events. In case of illness or accident I authorise: • The leader(s) of the event to sign on my behalf any written consent required by the medical authorities should there be any delay in them being able to contact me. • The leader(s) to administer prescribed and non-prescribed medication.
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