Name of child attending Mini Millers
*
First Name
Last Name
Mini Millers Booking Form
You must complete a separate booking form for each child. Each session will have a different theme so booking all sessions is recommended
Age of child
*
Please Select
7
8
9
10
11
Name of Parent/Carer
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
Village / Town / City
County
Postcode
Emergency phone contact whilst your child is attending Mini Millers (1st contact)
*
-
Code
Number
Emergency phone contact whilst your child is attending Mini Millers (2nd contact)
*
-
Code
Number
Please give details of allergies, medical conditions, learning needs or disabilities that the child has, or "None"
*
We may wish to take photos of children taking part in activities at the mill. Photographs may be used in future marketing of Mini Millers, or within Heckington Windmill Trust marketing. Please indicate if you give your permission for your child's image to be used
*
Please Select
Yes I give permission
No I do not give permission
I am the parent / legal guardian of the child attending Mini Millers. I understand that during the Mini Miller's sessions that my child is attending I will be available on the contact numbers that I have provided and that I will be able to attend the Windmill site within 15 minutes of being asked to. I understand that should my child's behaviour impact negatively on the enjoyment of others attending that I may be asked to collect my child from the session and I agree that I will do this promptly. I understand that bookings are non refundable and non exchangeable.
*
Please Select
I agree with the statement above.
Please select which sessions to book
*
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( X )
Sun 28th Sept
Jam Tarts & Cogs
£
5.00
Sun 19th Oct
Cookies and Creepy Crawlies
£
5.00
Sun 23rd Nov
Gingerbread People & Paper Chains
£
5.00
Sept
Oct
Nov
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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