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Freedom Festival
Please do a separate form for each child
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* Indicates required question
Child's First name
*
Your answer
Child's Surname
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Sex
*
Female
Male
Prefer not to say
Other:
Year Group 2021/2022
*
Your answer
Confirm which days your child can attend?
*
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Required
Address
*
Your answer
Postcode
*
Your answer
Telephone Number (no space)
*
Your answer
Email (useful for confirming places)
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number (no space)
*
Your answer
GP's Name
Your answer
GP's Number (no space)
*
Your answer
Any allergies, medical or behavioural needs?
*
Your answer
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