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Raspberry Creatives

Community Events CIC 14865439

Home

Creative Fun for Everyone!

Register For Our Playscheme!

Playscheme Registration Form

Child's Name

Date of Birth

Age

Parent / Guardian Name

Email

Phone

Address

Additional emergency contact

Which Venue (s) will your child attend?

If yes to any, please give details including what support your child will need at the Playscheme. We may contact you for further details and planning. Feel free to talk to us at any time regarding your child's needs.

Please tell us if your child has any of the following

Food Allergies

Hay Fever

Asthma

Bee Sting Allergy

Additional Learning Needs

Mobility Needs

Any Other Medical Condition or Disability

Any Fears or Phobias

Any Other Support Needs

I give permission for my child to attend the PlaySpace Playscheme by Raspberry Creatives

I understand that under 8s must be accompanied by a responsible adult at the Playscheme

I understand that the Playworkers cannot prevent my child from leaving the Playscheme venue at any time

I understand that my child may be offered free food and drinks at the Playscheme and I have included details of any allergies on this form

I give permission for photos of my child to be taken by Playscheme staff and used for social media and publicity purposes

How did you hear about us? * Required

Our Website

Social Media

Flyer/Poster/Event

Local Authority

Another Group

Other

I DO NOT give permission for photos of my child to be taken by Playscheme staff and used for social media and publicity purposes

Thanks for registering! We look forward to meeting you soon.

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