BOOKING Forest School Workshops SUMMER '22 @Ham Lands Nature Reserves with GreenWise People (Maria Sprostranova & friends...)

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In order to book your child's/children's place(s) at our Forest School Workshops, please fill in the below information (a separate form is required for each child).

Workshop Dates *

MON-TUE 1-2nd August FOREST SCHOOL (5-11yrs) at Ham Lands Nature Reserve (10-4pm)

Other:

Required

Child's Full Name *

Child's Preferred Name

Child's Date of Birth *

YYYY

Parent/Guardian Name and Relationship to child *

Email address *

Home Address

Contact Details (mobile/work) *

Contact Details (home or alternate responsible adult) *

Doctors Address *

Doctors phone number

I give permission for the first aid attendant to use plasters on my child. *

Yes

I give permission for arnica and calendula homeopathy to be given to my child (in case of bumps, scrapes and falls).

Yes

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Has your child had any of the following? *

YES

Allergies (eg. nuts, pollen, materials etc.)

Heart Condition

Diabetes

Epilepsy

Sight or Hearing difficulties

Asthma and Bronchitis

Ever been stung by a bee or wasp?

Dietary Considerations

If you answered YES above or any other pertinent medical information, please give details below

Please give details of any regular medication, reactions to stings and anything else worth noting.

Does your child have any special educational needs? Please be as detailed as possible in your answer - even if not diagnosed, we know our children best and if there are certain likes/dislikes which are worth noting to the Forest School Leader, do kindly share - the more we know, the better equipped we will be to make sure everyone has a wonderful time in the woods with us :-)

Photo permission - I give permission for my child's image... *

We occasionally takes photographs or video film for publicity purposes, or to monitor activities for Local Borough & funders. These images may appear in our printed reports to funders, publications, on our website or social media. It is also possible that we may also send them to the news media to make the community aware of the importance of green spaces and the benefit of nature for child development as well as sustainability and conservation. NO NAMES will ever be shared or disclosed.

Yes

I do give permission for photographs to be taken and shared via Dropbox ONLY with families present at the workshop

I do give permission for photographs to be used fo future publicity purposes

I confirm that I have read the full PARENT PACK for Ham Lands found on this link: https://bit.ly/39giaLH *

YES

Required

I understand that in order to secure my place at the above workshops, payment in full has to be received in advance. *

YES

How did you hear about the workshops? *

Signature *

Submit

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