Razzamatazz Robots
Please do a separate form for each child
Child's First name *
Your answer
Child's Surname *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Sex *
Year group 2019/20 *
Your answer
Address *
Your answer
Postcode *
Your answer
Telephone Number (no space) *
Your answer
Email (useful for confirming places. We will give options below to make sure your email is only kept by those churches you are happy to contact you.)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number (no space) *
Your answer
GP's Name
Your answer
GP's Number (no space) *
Your answer
Any allergies, medical or behavioural needs? *
Your answer
Confirm which days your child can attend? *
Required
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