Holly’s Little Bakers Booking Form 
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Date of Workshop *
Your Name: *
E-mail: *
Child 1: Name *
Child 1: Age *
Child 1: Specific food related allergies/intolerances/dietary requirements:  *
Child 1: Medical information or Special Education Needs I need to be aware of to support your child during the workshop:  *
Only for children attending the Cook, Bake and Play session: 
Child 1: Foods that my child dislikes:
Only for children attending the Cook, Bake and Play session: 
Child 1: Foods that my particularly enjoys:
Only for children attending the Cook, Bake and Play session: 
Child 1: Indoor and outdoor play activities my child particularly enjoys or any specific interests (e.g. lego, sand play, arts and crafts, football, animals): 
Child 2: Name:
Child 2: Age:
Child 2: Specific food related allergies/intolerances/dietary requirements: 
Child 2: Medical information or Special Education Needs I need to be aware of to support your child during the workshop: 
Only for children attending the Cook, Bake and Play session: 
Child 2: Foods that my child dislikes:
Only for children attending the Cook, Bake and Play session: 
Child 2: Foods that my particularly enjoys:
Only for children attending the Cook, Bake and Play session: 
Child 2: Indoor and outdoor play activities my child particularly enjoys or any specific interests (e.g. lego, sand play, arts and crafts, football, animals): 
Emergency Contact 1: Name:

 *
Emergency Contact 1: Relationship to child(ren)
Emergency Contact 1: Telephone number:

 *
Emergency Contact 2: Name:

 *
Emergency Contact 2: Relationship to child(ren):

Emergency Contact 2: Telephone number:

 *
Please tick as appropriate: 

 *
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