Larbert Mega Makers: Child Registration

Larbert Mega Makers: Child Registration

10am - noon, 4th - 8th July, Carronvale House, Carronvale Rd, Larbert FK5 3LH
Young Person's Details
Child's name *

First Name Last Name
Preferred Name *
I would like to register my child for (please tick whole event or the days that your child will attend) *

Whole event Monday 4th July Tuesday 5th July Wednesday 6th July Thursday 7th July Friday 8th July
Sex *

Male Female
Date of Birth *

Day Month Year
Date
Address *

Address Line 1

Address Line 2

Address Line 3 Address Line 4

Postcode
School Year (August 2021 - June 2022) *
School attending *
Name of School
Emergency contact name *
Emergency contact phone number *
The child may be collected by *
Please indicate if the child can go home unaccompanied at the end of the day *

Yes No
Medical Details
GP name *
GP telephone number *
Does your child have any dietary requirements (including food allergies) *

yes no
if yes, please indicate dietary requirements (including food allergies)
Any other known allergies *

yes no
if yes, please indicate allergies
Any known health issues *

yes no
If yes, please indicate health issues
Any known Additional Support Needs *

yes no
If yes, please indicate Additional Support Needs
Parental Consent
I confirm that the details are correct and complete to the best of my knowledge. In the event of illness, or accident, I give permission for any necessary medical treatment to be given by the nomainted first-aider. In an emergency and if I can't be contacted, I am willing for my child to receive hospital treatment if necessary. I understand that every effort will be made to contact me as soon as possible.
Parent/Guardian Details
Parent/guardian name *

Mr/Mrs etc First Name Last Name
Parent/guardian email address *
example@example.com
Parent/guardian contact numbers *

Main contact Alternate contact
My child is under 16 and I give consent for their photo/video to be used for publicity purposes *

yes no
I am happy to receive information about future events which may suit my child *

yes no
SU Scotland and LCYT are jointly responsible for this data. SU Scotland promises to look after your data in accordance with the General Data Protection Regulation. For more information, visit suscotland.org.uk/privacy. For more information on Larbert Churches Youth Trust's (LCYT’s) privacy policy, please contact LCYT.

SU Scotland is registered as a charity (no. SC011222) and as a company limited by guarantee (no. SC54297)
Please verify that you are human *
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Larbert Mega Makers: Child Registration

Young Person's Details

Medical Details

Parent/Guardian Details