Royal Tribe Kids Sign Up Form

1

Parent/Carer's Name

First Name

Last Name

2

Contact Number

Please enter a valid phone number.

3

Email Address

example@example.com

4

Child's Name

First Name

Last Name

5

Child's Age

6

Does your child have any allergies

YESNO

7

Please list any allergies

8

Is your child taking any medication that we need to be aware of?

YESNO

9

Please list any medication along with instructions