Busy Brains Year KS2 Club

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Busy Brains Year KS2 Club - Spring 2022

Potten End Church of England Primary School

Электронная почта *

Child's name *

Child's Year Group *

Parent/Carer name: *

Parent/Carer contact number: *

Alternative emergency contact number *

Please indicate if your child has any medical or dietary needs. *

Please indicate if your child has any specific learning needs: *

I agree to collect my child promptly at 4.15pm. *

Yes

Обязательный вопрос

I agree to not send my child to Busy Brains if they are displaying any COVID-19 symptoms. *

Yes

Обязательный вопрос

I agree to pay for the course in advance by online transfer. Sort code: 40-24-07 ACC No: 01692356. Invoices will be sent from noreply@crunch.co.uk *

Yes

Обязательный вопрос

From time to time, Busy Brains may take photographs and /or video for our website or social media pages. Please indicate below for consent. *

Yes, I give consent for Busy Brains to use my child's image.

No, I do not give consent for my child's image to be used by Busy Brains.

Другое:

Обязательный вопрос

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