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Busy Brains - Busy Brushes KS1 Club - Summer 2022
Potten End Church of England Primary School
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Email
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Child's name
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Child's Year Group
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Parent/Carer name:
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Parent/Carer contact number:
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Alternative emergency contact - name and number
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Please indicate if your child has any medical or dietary needs.
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Please indicate if your child has any specific learning needs:
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I agree to collect my child promptly at 4.15pm.
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I agree to not send my child to Busy Brains if they are displaying any COVID-19 symptoms.
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I agree to pay for the course in advance by online transfer. Sort code: 40-24-07 ACC No: 01692356. Invoices will be sent from
noreply@crunch.co.uk
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From time to time, Busy Brains may take photographs and /or video for our website or social media pages. Please indicate below for consent.
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