Hitchin Fun Club

Registration

CHILD’S CONFIDENTIAL PERSONAL RECORD

Invalid Input

Invalid Input: please use only numbers and the following symbols - /

Invalid Input

Invalid Input, Please use only letters and numbers.

Mother's details

Invalid Input- Please use only letters and spaces.

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Father's details

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Child/Medical details

Invalid Input

We must be informed of any special allergies/diet/disabilities/health problems so that your child can be looked after appropriately. If applicable please provide details below.

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Do you give permission for staff to apply sun cream to your child? (Our club use Factor 30 sun cream)

Invalid Input

May we seek emergency medical treatment for your child at hospital or at the doctors?

Invalid Input

If yes, please specify

Invalid Input

Invalid Input

Do you give permission for your child/children to be photographed? These photos will only be shown at the Club, they will not be put on the internet. We will seek permission for special occasions.

Invalid Input. We only accept the following special characters ,./+()" "=?

Anything else the Playleader should know about your child:

Invalid Input

Please provide a photograph and more information if your child has any allergies, dietary or medical conditions.

Invalid Input

Please click on the "browse" button to upload a photo of your child.

Invalid Input

Please provide as much information as possible about your child's allergies, dietary requirements or medical conditions below.

Invalid Input

I have read and understand the Policies, Procedures and Practices for Parents/Carers and agree to abide by them. Failure to follow these rules and regulations may result in your child losing their place with us.

Invalid Input

The person completing this form should sign in the space provided.

Invalid Input

Invalid Input

This email address will be the address your registration confirmation will be sent to.

Invalid Input

If 'other' please specify.

Invalid Input

State relationship if not parent or guardian

here is an annual registration fee of £10 per family due each September or upon first attendance thereafter.  (No fee applies if currently attending Hitchin Fun Club)

Invalid Input

Invalid Input

Invalid Input