Please first fill in your name and email address, then fill in the correct information for your child.
Email address *
Child's Forename *
Your answer
Child's Surname *
Your answer
Address *
Your answer
Date of Birth *
Gender *
School Year *
Name of School *
Your answer
Does your child have any medical conditions or allergies that we need to know about? *
Your answer
Parent/Guardian's Full Name *
Your answer
Parent/Guardian's Contact Number *
Your answer
Second Emergency Contact Name *
Your answer
Second Emergency Contact Number *
Your answer
It is really important for Treatz to be able to use photographic and video material for promotional purposes. Would you please tick to confirm your agreement to pictures being used of your child in the following way:
It is also important to make you aware of other events that might be suitable for your child. By ticking the ministries below, you agree to them using your details send you promotional information about the events they are running:
Privacy Policy
All of the information above will be held securely in our digital Treatz Database. If you would like a copy of our privacy policy, please do not hesitate to email
Do you confirm that the above details are correct, and agree to your child taking part in Treatz on 31st October 2018? *
A copy of your responses will be emailed to the address you provided.
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