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Hang Out Booking Form
July 13, 2023
Paul
Please enable JavaScript in your browser to complete this form.
Participants name
*
First
Last
Parent/Guardian Name
*
First
Last
Name of School
Participants Age:
Checkboxes
Tues 2nd Jan
Wed 3rd Jan
Participant telephone number
Participant Email
Parent/Guardian Telephone number:
Parent/Guardian email
*
Parent/Guardian address
Medical Conditions
Yes
No
If yes, please specifiy:
Does participant have any allergies or dietary requirements?
Yes
No
If yes, please specifiy
Is the recipient in receipt of free school meals? If yes you need to book with the Council on this link https://eequ.org/experience/3367
Yes
No
Can we include your child in photographes taken at the sessions which will be used on our website and social media pages? Please tick.
Yes
No
Ethnic Group
Asian
Black
Caucasian
Mixed
Other
Prefer not to say
Submit
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