Family Mental Fitness - Registration & Consent Form
Please complete this form before attending our sessions. We need separate consent for each child attending. This helps us make the events safe and enjoyable for everyone. All information will be stored only for purposes the session and in line with our privacy policy. We apologise - The form MUST be completed before the session or your child will not be cleared to attend.
Which session(s) have you booked? (This is not a booking form - events should be prebooked using the link on our website - familymentalfitness.com/bookings-and-events)
Parent or Guardian Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Full Name
*
First Name
Last Name
Child 1 Age
*
Does your child have allergies?
Yes
No
Any medical conditions ?
Yes
No
Any additional needs?
Yes
No
Details if yes answered to any of the above:
I consent to photo / video of my family for use on social media and marketing:
*
Yes no problem
No photos of us thank you
I consent to emergency first aid for my family should it be required:
*
Yes
No
I confirm that I will remain responsible for ensuring the behaviour and conduct of my child and will remains contactable during the session.
Yes I understand the children and appropriate behaviour are my responsibility
I confirm that I will cancel if I can no longer attend. I understand that non-attendance without notification may mean that any future bookings are cancelled and released to other families.
*
Yes I will cancel if I cant attend and understand nor doing so may mean I lose my other bookings.
I would like to hear about future events from Family Mental Fitness North East CIC.
Yes please keep me updated
No thank you
Thank you!
Can't wait to welcome you at The Lighthouse Project! if you have any questions ahead of the session you can email us at kay@familymentalfitness.com.
Register
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