Survival Camp
Student details
Students Name
First Name
Last Name
Students Age (between 10-12 yrs old)
Male/ Female
Food allergies?
Any medical information.
Date of event.
-
Day
-
Month
Year
Date
Parent consent for images to be taken.
Yes, I give Consent for photos
No, I don’t wish to give Consent for photos
Please upload any other important information.
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Parent/ Guardian details
Parent/ Guardian Name
*
First Name
Last Name
Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Phone Number
*
-
Area Code
Phone Number
Emergency contact name.
*
First Name
Last Name
Emergency contact number.
*
-
Area Code
Phone Number
Who’s dropping off and picking up.
How did you hear about the event?
Facebook
Instagram
Picked up a leaflet
From news letter email
From a friend
Survival Camp
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1 Day Wild Edge Survival event.
This payment covers one student to join this fantastic event.
£
65.00
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