Home Ed-Venturers Booking Form
Child's name *
Your answer
Child’s age *
Your answer
Child's date of birth dd/mm/yyyy *
Your answer
I would like to book a place for Term 6 (7 weeks) *
Required
I will be paying; *
Required
Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe in detail and state if they self medicate (including dosage)or need adult supervision: *
Your answer
Does your child have any dietary requirements that we need to be aware of?
Your answer
Does your child have any learning difficulties or special educational needs that you feel we should be aware of? *
Your answer
Is there anything else that you feel would be useful for us to know about your child in order for us to support their experience at Home Ed-Venturers? *
Your answer
We like to take photographs of the adventures we have in the BFS woodland to use for our own publicity. Are you happy for us to take pictures of your child for these purposes? *
Required
We have a shared Dropbox folder that we update with photographs from the sessions and is shared with parents from the group only. Are you happy for us to take pictures of your child for these purposes and to share them with you and other parents from the group? None of these photos will be used for publicity. *
Parent/guardians full name *
Your answer
Parent/guardians contact number *
Your answer
Alternative contact full name *
Your answer
Alternative contact number *
Your answer
Email address *
Your answer
Confirm email address *
Your answer
How did you hear about Home Ed-Venturers? *
Your answer
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