Child Registration

In order for us to process your booking, please complete the following Registration Form and submit.

You only need to do this once – for subsequent bookings you can simply tick the box, unless there are any changes to be made. Please note, that when booking your child onto a Wild Play session, you are responsible for ensuring that all details and information is correct at the time of booking.

Child's Name

Gender

Child's Date of Birth

I am happy for Wild Play to use images / video of my child for publicity purposes - names will NOT be used
YesNo

Child Medical Conditions

Child's Allergies

Child's Dietary Needs

Child's SEND / Physical Restriction

Parent Name

Email Address

Parent Contact Number

Emergency Contact Name & Number

Home Address

List Of People Authorised to Collect Child

Does Your Child Have Any Particular Interests?

Is There Anything That May Worry Your Child?

COVID-19 / Coronavirus
I can confirm that myself, my family and my children have not been been unwell in relation to Covid-19 or shown any symptoms of Coronavirus/Covid-19

Early Collection
I agree to collect my child from the session immediately if Wild Play Ltd contact me because my child is feeling unwell (of any nature).

I Have Read And Agree To The Terms & Conditions
I Agree

I Have Read And Agree To The COVID-19 Policy
I Agree

I am aware that Wild Play Ltd sessions may also include the use of tools / fire and I confirm that I give consent for my child to take part. I am aware of the risks involved and that Wild Play Ltd will take all appropriate measures to reduce the risk of harm to all participants.
I Agree

I Give Consent For Medical Intervention In The Event Of An Emergency
I Agree