Wild Days 2026

Wild Days 2026

Tuesday 27 October 2026 (* Mon 26 Oct FULLY BOOKED)
Parent/ Carer Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Post Code
Email
example@example.com
Mobile phone number
Please enter a valid phone number.Format: 00000-000000.
Work or home number
Please enter a valid phone number.Format: 00000-000000.
Relationship to child
Other people with parental / caring responsibility
Emergency contact name (if you wish to add other to person completing this form)

First NameLast Name
Emergency contact number (if other to person completing this form)
Please enter a valid phone number.Format: 00000-000000.
Please give us details of another person who you authorise to collect your child(ren) if necessary
PIN number
We will not allow another person to pick up your child without providing this PIN
I am aware that dogs are not allowed on site at Hill End, including at drop off and pick-up

Child(ren) Details
If your child(ren) is not fluent in English, please give details below
Medical Information
Please note that nuts are not allowed in lunches or snacks.

Medication must to be handed to our staff on arrival, in a bag clearly labelled with the child’s name, dosage and instructions for use.
GP or medical centre name
GP or medical centre contact number
Please give full details if your child(ren) have any allergies or medical needs
Please give full details if your child(ren) have medication that needs to be administered throughout the day
Please note that the child must bring two Epi-Pens with them. The correct use of the pen must be demonstrated to our staff either by a medical professional or a parent/carer beforethe child can be dropped off.
Does your child have any behavioural or other needs we should know about?
In the event of an accident, I give Hill End staff permission to administer first aid on site or seek emergency medical advice
We occasionally take photos to promote the work of Hill End or to fundraise for our charity. If you are happy for us to take photos of your child please tick here

Please let us know which day(s) you would like to book

Rows	Number of children attending
Monday 26 October *FULLY BOOKED
Tuesday 27 October