Parent consent form for D&D May half term.
Please complete this form in order for your child to attend the event.
Sign in to Google to save your progress. Learn more
Child's Name *
Any food allergies/intolerances or medical conditions we should be aware of?
Emergency contact one: Please provide, full name, relationship to child, contact telephone number & contact email address. *
Emergency contact two: Please provide, full name, relationship to child, contact telephone number & contact email address.
Do we have your consent to include your child in promotional material (i.e. photographs/adverts)
 *
Panini for Monday *
Panini for Tuesday *
Panini for Wednesday *

Please confirm that by completing this form, you recognise, and accept, that Dice Saloon Ltd., and its employees, are not responsible for the above named child or child’s belongings and/or valuables. You also recognise that whilst on the premises, Dice Saloon Ltd. and its employees are not held liable for any personal injury or property damage.


 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Dice Saloon Singles. Report Abuse
Google Forms