Parent/Guardian's Contact Details Full Name* Telephone (Day)* Mobile* Email* Relationship to child (parent/legal guardian/aunt etc.)* Days Attending Monday 19 August Tuesday 20 August Wednesday 21 August Child 1 Personal Details Full Name* Address* DOB* School* Medical Information Does your child have any medical conditions we need to be aware of? (including allergies, current medication, special dietary requirements, injuries) Yes No Details I consent to any emergency medical treatment necessary during MMNYL Summer Camp Yes No Imagery Consent If you do not agree to her picture being taken then please tick here Add Child Consent Permission of Parent/Carer/Guardian?* By checking this box you agree to our Terms & Conditions I agree
