Farm Club 2019

£35.00

£35.00

3 in stock

£35.00

7 in stock

Child’s Full Name *

Child’s D.O.B. *

Child’s GP Name & Surgery *

Does your child have any allergies or intollerances? *

Does your child have any dietary requirements? *

Does your child have any additional support needs? *

Does your child have any health conditions? *

Is your child currently taking any medications? *

Has your child had a tetanus injection? *

Parent/Guardian Name *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Alternative Contact Name *

Alternative Phone Number *

Names of those authorised to collect child? (please specify if child is authorised to leave independently) *

Do you give permission for staff to provide treatment in event of accident *

Do you give permission for the Farm to process this personal data in line with the description above? *

I understand how my data will be processed

Category:

Description

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