The Hang Out Games Booking Form

Participants Name *

First

Last

Gender

Date of Birth

Secondary School

Checkboxes

Monday 12th August 11 – 3pm
Tuesday 13th August 11 – 3pm
Wednesday 14th August 11 – 3pm
Monday 19th August 11 – 3pm
Tuesday 20th August 11 – 3pm
Wednesday 21st August 11 – 3pm

Activities of interest

Basketball
Football
Netball
DJ workshop

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 from 5 On It and MK Council about free activities *

Yes
No

We may take photographs and videos of the activity session, please specify if you are happy for your child/children to be featured in these images which maybe used on our website and social media pages. *

Yes
No

Please state ethnicity

The Hang Out Games Booking Form

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