Golden Games Booking Form

Participants Name *

First

Last

Gender

Age

Date of Birth

Primary School

Are siblings of the participant also attending the camp? *

Yes
No

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Telephone number

Parent/Guardian Address - First Line

Parent/Guardian Address Second Line

Parent/Guardian Address Postcode

Does the participant have any allergies or medical conditions? *

Yes
No

If yes, please give details.

Does the participant have any dietary requirements *

Yes
No

If yes, please give details.

Does your child have special education needs or disability? *

Yes
No

If yes, please give details.

Is the participant in receipt of benefit-related Free School Meals (FSM)? *

Yes
No

If yes, please give your child's unique allocations code

I am happy to receive emails 5 On It and MK Council about free activities? *

Yes
No

Unfortunately we are unable to accept children who are not able to be filmed or in photographs for this event as it's being filmed for an inspiring documentary about the Olympics. Please tick this box to confirm you agree to your child being in photographed or filmed. For details of other activity camps where children can attend without being photographed please email admin@5onit.co.uk for details *

Yes

Please state ethnicity

Golden Games Booking Form

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