Movers & Makers C.I.C Registration Form
OCTOBER 2020 inclusive camp
Dates: Monday 26th- Wednesday 28th October 2020
Times: 09.30am - 15.30pm
Fee: £35 per day per child aged 6-12 years
Information provided on this form will be used for each child's care plan.
* Required
Which dates would you like to book for the October 2020 inclusive camp: *Please note that multiple booking days must be consecutive days to reduce cross over.
*
Monday 26th October
Tuesday 27th October
Required
Child's Full Name
*
Your answer
Preferred Name
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Parent/Carer Name
*
Your answer
Email address
*
Your answer
Home address
*
Your answer
Telephone numbers
*
Your answer
Emergency contact numbers
*
Your answer
GP Name, address and telephone number
*
Your answer
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