Booking Form

Nature Quest Expeditions

at Heron Meadow

This project is funded by the Aviva Access to Nature fund

Free entrance

For children 10-14 years old

1-2.30PM

14 Sept

Name of parent

First NameLast Name

Email

example@example.com

Phone number

How many children ?

Child (children) name(s)

Age(s) of the child (children)

Statement of shared responsibility

By sending this form, I agree to disclose to Heron Meadow any physical, mental health issues that might adversely affect the participation of my child in the event, prior to his/her attendance so that his/her needs can be met and any risks evaluated.

Photo consent : during the Nature Quest activities we will be taking some group photos as part of our evaluation process by our funder, as well as for our own online publicity, website, social media, and for future funding applications. We would be grateful if you would give us permission to take and include photos of your child for this purpose. The faces of the children can be blurred to protect identity.

Yes, I give permissionNo, I do not give permission

Any additional comments or information you would like to share?