Child Registration & Consent Form for Gateshead United HAF
Share your child’s details, attendance dates, emergency contact info, medical notes, permissions, and payment choice.
Child’s full name
*
First Name
Last Name
Child’s age
*
Parent/guardian full name
*
First Name
Last Name
Parent/guardian phone number
*
Parent/guardian email
*
example@example.com
Emergency contact name
*
First Name
Last Name
Any medical conditions or allergies?
Which dates will they attend?
*
Week 1 ( 20th July - 24th July ) @ white mere
Week 2 ( 27th July - 31st July ) @ white mere
Week 3 ( 3rd August - 7th August ) @ white mere
Week 1 ( 20th July - 23rd July ) @ kibblesworth
Week 6 ( 24th August - 28th August ) @ kibblesworth
Do you give photo/video permission?
*
Yes
No
Anything else we should know?
Permission to allow first aid
*
Yes, I give permission
No, I do not give permission
Payment option
*
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( X )
Standard Day
Attendance for one day (no hot meal)
£20.00
£
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Day with Hot Meal
Attendance for one day with hot meal provided
£25.00
£
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Place is not confirmed until payment has been made, once form filled out we will be in touch!
Gateshead United
Submit Registration
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