Child Details Questionnaire

Event:

Event Name and Date

Participant Details:

Name

Child's Age

Medical Details:

Please declare any medical conditions relevant to the activities on the event e.g. asthma, heart conditions or mobility related conditions.

Educational needs:

Please declare any learning difficulties or special educational needs that the instructors should be aware of to support your child at the event.

Parent or Guardian Details:

Name

Mobile

Alternative contact details

Consents:

Photo Consent

I consent for photos of my child to be used in promotional matertial for Woodsworth Exploring.

Marketing Emails

I'm happy for Woodsworth Exploring to send me occasional marketing emails.