Feb Half Term Activity Booking Form

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Please provide us with some further details to help us ensure the health, safety and wellbeing of your child. We cannot accept any child until these questions and forms have been completed. Please submit your answers at the end of the form and sign by typing your name.

PLEASE NOTE - our Monday and Tuesday sessions are now full so please don't choose this option.

If you have any questions at all, please email liz@project-food.org.uk

Please select the day your child would like to attend. If places become quickly booked we may limit it to just one session (we will confirm your bookings with you) *

NOW FULL - please do not book this option! Monday 21st February - 10.30am - 12.30pm

NOW FULL - please do not book this option! Tuesday 22nd February - 10.30am - 12.30pm

Wednesday 23rd February - 10.30am - 12.30pm - Cooking with River Cottage (age 7 -11)

Full name of child *

Name of Parent/Guardian *

Child's Date Of Birth *

YYYY

Child's Home Address *

Parents email address *

Emergency Contact 1 (Name and Number) *

Emergency Contact 1 relationship to child

Emergency Contact 2 (Name and Number) *

Emergency 2 relationship to child *

Child's GP Name and Address *

Are there any allergies we should be aware of? (Please include food allergies, items such as plasters and outdoor allergies such as hayfever) *

Does your child have any disabilities or medical conditions? *

Yes

If yes, please could you let us know what these are?

Do you give our staff and volunteers permission to carry out First Aid if you child requires it at any point of being in our care? *

Yes

Will your child require any medicines to be administered whilst in our care?

Will your child require assistance to administer medicine and do you give permission for our staff and volunteers to assist them?

Photo Consent - Do you give permission for your child's photo to be taken for the following purposes: Local newspaper? *

Yes

Project Food Social Media pages (Facebook, Twitter and Instagram)? *

Yes

Internal use only by Project Food? *

Yes

Other:

Filming Consent - Do you give permission for your child to be filmed for the following purposes: Local or National television? *

Yes

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