Katie's Craft House Registration Form

Katie's Craft House Registration Form
This form is to request a place for your child on the selected club. Places on each are limited and on a first come first served basis - we will get back to you as soon as we can to confirm. We will ask you to confirm by payment up front to finalise the booking. Any questions just get in touch at www.crafthousene.co.uk/contact.html - Thanks!
What what you would like to register for?*

Which Day(s) would like your child to attend the After School Art Club?

TuesdayWednesdayThursday
Which Pre-Schoolers day(s) would you like to register for?

Tuesdays 10.30-11.15Thursdays 10.30-11.15
Which Home Education day(s) would you like to register for?

Wednesdays 10.30-12.00Fridays 10.30-12.00

Child's name*

First NameLast Name
Child's date of birth*

DayMonthYear
Date
Name of parent/carer with whom the child resides:*

First NameLast Name
Address*
Your Contact details

You don't have to fill all in but please provide as many as you can:
Email
example@example.com
Home Number

Area CodePhone Number
Work Number

Area CodePhone Number
Mobile Number

Area CodePhone Number
Mobile Number

Does your child have any medical problems/allergies(food/other)/accessibility needs that we should know about? Please Specify:
If your child is over 6, they could be left supervised by us during the session. Will you be planning to leave your child with us?

Yes/SometimesNo
Emergency Contact Details

Please provide details of parents and carers, and someone else that we can get in touch with in case of an emergency. Parents and carers will always be contacted first, but if we can't reach you, we will then try your emergency contacts.
Contact number 1:
Name
Relationship to child
Telephone number
Contact number 2:
Name
Relationship to child
Telephone number
Consent form:
Do you consent for your child to receive basic medical treatment if needed? (Plasters/ice packs)*

YesNo
Print Name*
Date*

DayMonthYear
Date
Photo Release Form:*

I DO Give my full permission for any photographs to be taken or shared on any social platformI DO NOT: Give my full permission for any photographs to be taken or shared on any social platform
Print Name*
Date*

DayMonthYear
Date
Should be Empty:

Your Contact details