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.
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Day
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Month
Year
Date
Parent consent for images to be taken.
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Parent/ Guardian details
Parent/ Guardian Name
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First Name
Last Name
Email
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Address
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Street Address
Street Address Line 2
City
County
Post Code
Phone Number
*
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Area Code
Phone Number
Emergency contact name.
*
First Name
Last Name
Emergency contact number.
*
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Area Code
Phone Number
Who’s dropping off and picking up.
How did you hear about the event?
Facebook
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Picked up a leaflet
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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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