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Minecraft Registration Form 2019
PLEASE NOTE: If dates are not shown this is because they are now fully booked.
Your details will be held securely and not shared with any 3rd party.
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瞭解詳情
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電子郵件
*
你的電子郵件
Dates you would like to book
*
Please choose the dates you'd like to book in for
29 July @ St Peter and Pauls
30 July @ St Peter and Pauls
必填
Child's First Name
*
您的回答
Child's Surname
*
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Child's Age
*
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Child's Date of Birth
*
MM
/
DD
/
YYYY
House Number
*
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Street Name
*
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Town
*
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Postcode
*
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Parent / Carer Name
*
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Parent / Carer Mobile Number
*
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Parent / Carer Home Telephone Number
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Parent / Carer Email Address
*
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Emergency Contact Name
*
Additional Person to Parent / Carer
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Emergency Contact Mobile Number
*
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Medical Information
*
Please include allergies / medication details
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Does your child have any learning difficulties?
*
Yes or No
您的回答
If yes, please specify
您的回答
How did you hear about us?
*
Previous customer
Leaflet from school
Leaflet through the door
Online advert (facebook, twitter etc)
Word of mouth
其他:
Photography Consent
*
Do we have your consent to take photographs of your child to be used on the New Ways to Learn website/facebook/twitter to be used for marketing and sharing best practice.
Yes
No
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