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INSET Session FIRE - Booking Form
Date: 5 September 2025
Time:
10:00 - 15:00
Location:
space2grow
- behind St Andrews Churchyard, next to the Old Vicarage.
Cost:
£37.50 per child.
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Email
*
Your email
Parent/Carer's Name
*
Your answer
Child's Name and Date of Birth (1)
*
Your answer
Child 2 Name and D.O.B
Your answer
Child 3 Name and D.O.B
Your answer
Child 4 Name and D.O.B
Your answer
Contact Number
*
Your answer
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Medical Requirements
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None
Allergy to nuts
Allergy to Latex
Allergy to gluten
My child has asthma
Other:
Does your child have any special needs we need to be aware of?
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No
If you answered yes to the above question, regarding special needs, please detail here so we can provide appropriate support.
Your answer
I confirm that I have read and signed the
waiver
and understand the conditions. If you have completed this waiver in the last 12 months and there are no changes you need to make, you do not need to complete another waiver.
*
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I confirm I have made payment to:
Mrs A M Lloyd Purvis
Sort Code: 07 13 06
Account Number: 00247061
Please reference with Fire & Surname
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