Registration Form

Child's Details

Parent/Guardian Details

Parent/Guardian 1

Does this child normally live at this address?

Does this person have parental responsibility?

Parent/Guardian 2

Does this child normally live at this address?

Does this person have parental responsibility?

Does anyone else have parental responsibility for this child?

If you have answered yes to the above please give details here.

Emergency Contact Details

Please provide details of two people we can contact if we are unable to get hold of you.

Permission to Collect

Child’s Doctor

About Your Child

Permission

I give permission for my child to receive emergency first aid / or to be taken to hospital if I cannot be contacted in the event of this happening.

I do / do not give permission for my child to appear in photographs / videos, which may be taken whilst at ‘Astbury Merekats’

I do / do not give permission for my child to go on local walks, using the public footpaths surrounding Astbury.

I do / do not give permission for my child’s photos / videos to appear on the Astbury Merekats Facebook page, which can be accessed via the internet and seen by the general public.