ECW Holiday Fun-Days
Wednesday 20 July
Child's Name
*
First Name
Last Name
Child's School Year
*
2nd Child's Name
First Name
Last Name
2nd Child's School Year
3rd Child's Name
First Name
Last Name
3rd Child's School Year
4th Child's Name
First Name
Last Name
4th Child's School Year
Allergies/Medical Concerns
*
Please note which child this refers to
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Parent/Guardian's Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Emergency Contact
*
First Name
Last Name
Relationship to Child/ren
*
Phone Number
*
-
Area Code
Phone Number
Photo Release
*
I give permission for photos and/or videos of my child to be respectfully used in any promo for our holiday programme. I agree to allow pictures and/or videos to be shared with others in the group on our ECW Facebook page.
No, please do not take any photos/videos of my child.
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