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.
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. *
Required
Child's Full Name *
Preferred Name
Date of Birth *
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/
DD
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Parent/Carer Name *
Email address *
Home address *
Telephone numbers *
Emergency contact numbers *
GP Name, address and telephone number *
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