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CHristchurch Free Taster Session
19/5
Parent Name
*
Email
*
Phone
*
Attendee Name
*
Attendee age group and class
*
Does the attendee have any medical or allergy considerations?
*
Yes
No
Do you consent to Brain Up administering First Aid to your child in the event of an injury?
*
Yes
No
Does the attendee have any access requirements or disabilities we should be aware of to help make their experience as comfortable and inclusive as possible? (Please include any mobility, sensory, communication, or other needs you'd like us to consider.)
Does the attendee have any SEN considerations?
*
Yes
No
Does your child have 1-2-1 support at school?
*
Yes
No
Who will be dropping off and collecting the attendee?
*
Please provide a secondary emergency contact name and phone number
If a registered guardian is not picking up the attendee(s), what is the collection password?
Do you consent for your child to walk home alone? By selecting Yes you are providing electronic consent for us to allow them to do so (please note all children ages 8 or under must be collected by an authorised adult).
*
Yes
No
I consent to Brain Up taking photos and videos of attendees I have booked for during the activity (These may be used for promotional purposes such as sharing on social media/their website/or within the organisation)
*
Yes
No
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