Explorers Sign Up 22/23

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Parent/Guardian's name *

Parent/Guardian's email address *

Parent/Guardian's phone number *

Address *

Emergency contact name and phone number *

Children's names *

Children's age *

Does your child have any medical conditions or allergies we should be aware of? If yes, please provide details *

Do you give us permission to perform first aid on your child if necessary? *

Yes

Would you like to receive emails about Explorers? *

Yes

Would you like to receive emails about other events run by Emmanuel Marlborough? *

Yes

Would you like your child to be included in pictures taken of the event? These may be used in the future for advertising other events *

Yes

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