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LearnIt Cambridge Italian After-School Club Registration Form
Please complete one form per child. Only required once, unless any details change. Your booking will not be valid without this form.
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* Indicates required question
Full name of the child
*
Your answer
Date of birth of the child
*
MM
/
DD
/
YYYY
Name of the Primary School they attend
*
Your answer
Class/year
*
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Name of the teacher (if know, only for St Alban's kids to facilitate pick-up)
Your answer
If your child is in Reception at St Alban’s, do they have an older sibling in KS1 or KS2 who attends the club?
*
Yes
No
Not applicable (my child is not in Reception at St Alban’s)
Does your child speak or understand Italian?
*
Yes, fluently
Understands well
Understands a little
No
Full name of parent/guardian
*
Your answer
Relationship to the child
*
Your answer
Phone number
*
Your answer
Email address
*
Your answer
Name(s) of person(s) authorised to pick up your child at the end of the session
*
Your answer
Phone number of authorised person(s)
Your answer
Is this person the same every week?
*
Yes
No, varies (please notify us in advance each time)
Does your child have any allergies?
*
Your answer
Other dietary requirements or restrictions
Your answer
Does your child have any medical conditions or additional needs?
Your answer
1st Emergency Contact: Full name
*
Your answer
1st Emergency Contact: Phone number
*
Your answer
1st Emergency Contact: Relationship to child
*
Your answer
2nd Emergency Contact (optional): Full name
Your answer
2nd Emergency Contact (optional): Phone number
Your answer
2nd Emergency Contact (optional): Relationship to child
Your answer
Walking permission (St Alban’s pupils only): I give permission for my child to be walked from school to the club by volunteers and/or staff.
*
Yes
No – in this case the registration will not be valid
Not applicable – my child is not at St Alban’s and will be taken directly to the venue by a parent/carer
Photo permission: may we occasionally take photos (e.g., from behind and without showing faces) for internal use or promotional materials such as our website or social media?
*
Yes
No
Marketing Consent: would you like to stay informed about LearnIt Cambridge activities (performances, new courses, enrolment periods, and more)?
*
Yes, I would like to receive updates by email about new activities, courses, and opportunities at LearnIt Cambridge.
No, I do not wish to receive these types of communications.
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