Kernow Workshop: 11th Aug (ages 8-11)

Attendee #NUM#

Child Name *

Child's DOB *

Emergency Phone Number *

Child's School *

Does your child have Free School Meals (FSM) voucher code? If YES, please enter the code below: *

Will your child require us to provide a packed lunch? * No
Yes (FSM Pupils) - we will contact you to confirm the choices available
Yes (non FSM pupils) - we will contact you to confirm the choices and cost

Does your child have an EHCP? (Education and Health Care Plan) * No
Yes - and WILL need additional support to take part in activity
Yes - and WON'T need additional support to take part in the activity
No - but WILL need additional support to take part in activity

Does he/she have any dietary needs? *

Has your child been ill or in contact with any infectious illness in the last three weeks? *

Does your child suffer from any allergies, or have any diagnosed illness that may affect participation? *

Is your child allergic to anything (e.g. plasters, nuts or any medicines such as penicillin? *

Is your child receiveing any medical treatment at the moment? *

For children under the age of 12: Photos of participating children maybe taken for use in the local press, Edventure promotions or wesbite and social media. Do you give consent for this? * Yes
No

Your child's details will be stored on a secure database. This information will be used to contact you in the need of an emergency and used to contact you about future activities, do you consent to this? * Yes
No

Attendee #NUM#

Child Name *

Child's DOB *

Emergency Phone Number *

Child's School *

Does your child have Free School Meals (FSM) voucher code? If YES, please enter the code below: *

Will your child require us to provide a packed lunch? * No
Yes (FSM Pupils) - we will contact you to confirm the choices available
Yes (non FSM pupils) - we will contact you to confirm the choices and cost

Does your child have an EHCP? (Education and Health Care Plan) * No
Yes - and WILL need additional support to take part in activity
Yes - and WON'T need additional support to take part in the activity
No - but WILL need additional support to take part in activity

Does he/she have any dietary needs? *

Has your child been ill or in contact with any infectious illness in the last three weeks? *

Does your child suffer from any allergies, or have any diagnosed illness that may affect participation? *

Is your child allergic to anything (e.g. plasters, nuts or any medicines such as penicillin? *

Is your child receiveing any medical treatment at the moment? *

For children under the age of 12: Photos of participating children maybe taken for use in the local press, Edventure promotions or wesbite and social media. Do you give consent for this? * Yes
No

Your child's details will be stored on a secure database. This information will be used to contact you in the need of an emergency and used to contact you about future activities, do you consent to this? * Yes
No