REGISTRATION FORM

Please fill in the form below to register your child for Wild Play.

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

How did you hear about Wild Play?

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 have read, understood and agreed to Wild Play Ltd Terms & Conditions.

15 + 6 =

MEDICAL FORM

Please fill in the form below after registering your child with us – it is a legal requirement for us to have this information so we can adjust any activities or provide support where required

In the event of a medical emergency, I give permission for a staff member of Wild Play Ltd to contact the emergency services and if necessary admit my child to hospital for emergency treatment.

PLEASE TICK THE BOX IF THERE ARE NO MEDICAL NEEDS

1 + 8 =

Wild Play

Kingswood, Church Road, Elmswell, Bury St Edmunds, Suffolk IP30 9DY

e. info@wildplayltd.co.uk
t. 07403 219 594 / 07962 080 091