BeeSmart Halloween Holiday Club At The Mediterranean College of Sports
Registration form for 02nd, 03rd and 4th November. PLEASE NOTE THAT WE ARE FULLY BOOKED ON TUESDAY 03RD NOVEMBER. Please complete all required child, parent/guardian, health, emergency contact, consent, and payment declaration fields.
Child Information
Child's Full Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Current Class / Year Group
*
Kindergarten 1
Kindergarten 2
Grade/ Year 1
Grade/ Year 2
Parent / Guardian 1 Information
Parent / Guardian 1 full name
*
First Name
Middle Name
Last Name
Mobile number
*
-
Area Code
Phone Number
Email address
*
example@example.com
Parent / Guardian 2 Information
Parent / Guardian 2 Full Name
First Name
Middle Name
Last Name
Parent / Guardian 2 Mobile Number
-
Area Code
Phone Number
Email address
example@example.com
Attendance: Days Attending and Hours
Number of Days
*
Please Select
1 day – €25 (9.00-13.00)
2 days – €50 (9.00-13.00)
Days Attending
*
Monday 02nd Nov
Wednesday 04th Nov
Extended Hours
Extended hours are available within opening hours 7.00-15.00 at 3€ per Hour.
Arrival Time
*
Hour Minutes
AM
PM
AM/PM Option
Collection Time
*
Hour Minutes
AM
PM
AM/PM Option
Health, Dietary, and Additional Needs
Does your child have any allergies, medical conditions, dietary requirements, additional needs or medication, educators should know about?
*
No
Yes
If Yes, please give full details below.
Additional needs, behavioural considerations or other information.
Emergency Contact and Collection Authorisations
Emergency contact full name
*
First Name
Middle Name
Last Name
Relationship to child
*
Primary contact number
*
-
Area Code
Phone Number
Pick-up security word (This will be asked for upon Child Collection)
*
Consent and Payment Declaration
Internal photos/videos consent
*
Consent
Do not consent
External media photos/videos consent
*
Consent
Do not consent
Name of person making payment
*
First Name
Last Name
Payment method used. Please include the child's name when making payment.
*
Payment sent via Revolut confirmation
*
I confirm that payment has been sent via Revolut to 99424702.
Submit Registration
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