Calm Tots' Booking Form
Parent's Name *
Your answer
Address (including postcode) *
Your answer
Email *
Your answer
Phone number 1 *
Your answer
Phone number 2
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Relationship to child *
Your answer
Child's name *
Your answer
Child's Gender *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Does your child have any health issues? *
If yes, please provide details
Your answer
Does your child have any allergies? *
If yes, please provide details
Your answer
Do you have any specific mobility requirements? *
If yes, please provide details
Your answer
Is there anything else you would like to make Calm Tots aware of? *
If yes, please provide details
Your answer
Which classes are you interested in attending? *
Required
Which locations are you interested in? *
Required
I consent to photographs being taken during the class which may be used by Calm Tots for any publicity material they wish to present it on. *
I consent to Calm Tots sending me information via email to notify me of courses or services. You may unsubscribe from these at any point by emailing chris@calmtots.co.uk. *
How did you hear about Calm Tots? *
Your answer
Confirmation
By submitting this form I confirm the following:

I take full responsibility for the wellbeing and welfare of my child during the class and I will inform the teacher of any changes to the child’s needs or medical conditions before the class commences.

That the information given to Calm Tots is correct to the best of my knowledge and I have read and understood Calm Tots’ terms of business and privacy policy (www.calmtots.co.uk)
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