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Ulverley Rising Stars Booking Form
This form is to be completed by parents / carers for new bookings with URS.
If booking for multiple children please complete one form per child.
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* Indicates required question
Child's name
*
Your answer
Child Date of Birth
*
MM
/
DD
/
YYYY
Contact name
*
Your answer
Parents / Carers Email address
*
Your answer
Address
*
Your answer
Emergency Contact Details
Please detail two contacts including name and telephone number who can be contacted in an emergency
Emergency Contact 1
*
Your answer
Emergency Contact 2
*
Your answer
Password for child collection
*
Your answer
Start date requested (please allow 48 hours notice)
*
MM
/
DD
/
YYYY
School class if applicable
Your answer
Age of child you are booking for
*
3-11 year old
2 Year old
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