Junior Explorers Booking Form

Junior Explorers Booking Form

Home Education Group
Parents Name

First NameLast Name
Email
example@example.com
1st Child's name

First NameLast Name
1st Child's date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate of birth
Any allergies?
Are there any allergies we need to be aware of? If no please write none.
2nd Child's name

First NameLast Name
2nd Child's date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate of birth
Any allergies?
Are there any allergies we need to be aware of? If no please write none.
3rd Child's name

First NameLast Name
3rd Child's date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate of birth
Any allergies?
Are there any allergies we need to be aware of? If no please write none.
Do you give photo consent for images taken of your children during the sessions to use on social media and our website for marketing purposes?
Do you give photo consent for images taken of your children during the sessions to use on our private Facebook group?
What is your name on Facebook if different to the name given above?
This is needed for us to add you to our private Facebook group.
Refund/Cancellation Policy - We do not offer refunds. If you fail to attend a session unfortunately we are unable to refund or swap to a different date. If we have to cancel a session for any reason we will do our best rearrange this session on a different date or refund you if this is not possible.
After clicking submit you will be redirected to our website to pay for your space/s. If asked for the password for this secure page it is JUNIOR02
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