Booking Form
Carroty Wood: 5th - 7 August 2022
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Child's First Name *
Child's Last Name *
Child's Date of Birth *
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DD
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Parent/Carer Name *
Email Address of Parent/carer *
Emergency Contact 1: Full Name *
Emergency Contact 1: Phone Number *
Emergency Contact 2: Full Name *
Emergency Contact 2: Phone Number *
I hereby give permission that if it becomes necessary to receive medical treatment and emergency contact cannot be contacted by phone or any other means to authorise this, I am willing to receive doctor/hospital or dental treatment including an aesthetic. I authorise the Habitation leader to sign any documents required by the hospital authorities.
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