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Kidz Klub Registration & Consent Form
Name of Child
Date of Birth
Address
Emergency phone number
Contact name
Medical conditions/allergies to be aware of
I am happy for my child to attend Kidz Klub and to travel on the Kidz Klub bus.
I understand that my child remains my responibility until he/she boards the Kidz Klub bus and I will be responible for my child when he/she is returned to the bus stop.
I understand that my child wil be returned to the bus stop from which they boarded the bus, unless otherwise informed by me.
Yes
No
I give my consent for group images of my child to be used for Kidz Klub publicity purposes.
Yes
No
This information will be stored on a database in accordance with the Data Protection Act. Thank you for filling out this consent form.
Site by: Chris 31
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© Kidz Klub Hastings 2005
