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I understand that The Lawns Early Excellence Centre cannot accept

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I understand that The Lawns Early Excellence Centre cannot accept Powered By Docstoc
					                                   LASAR/EXTRA CARE CLUB/ACTIVITY CLUB REGISTRATION FORM
                  All children who attend LASAR, EXTRA CARE CLUB and ACTIVITY CLUB sessions must be registered.
           PLEASE COMPLETE ONE FORM PER CHILD – RETURN TO THE LAWNS EEC WITH THE £5.00 REGISTRATION FEE

CHILD'S FIRST NAME:

CHILD'S SURNAME:

CHILD'S DATE OF BIRTH:

HOME ADDRESS:




HOME TELEPHONE NUMBER:


SCHOOL ATTENDED:
CLASS:
PARENT/GUARDIAN NAME:

DAYTIME TELEPHONE NUMBER:

NAME/TELEPHONE NUMBER OF PERSON
COLLECTING CHILD FROM THE SESSION:
(If different from above)



NAME/TELEPHONE NUMBER OF PERSON
LOCALLY WHO CAN COLLECT CHILD FROM
THE SESSION IN AN EMERGENCY:


CHILD'S DOCTOR:
TELEPHONE NUMBER:
SURGERY ADDRESS:



WHAT IS THE CHILD'S FIRST LANGUAGE?:
ADDITIONAL INFORMATION:
ie: special diets, allergies, conditions, health
problems or anything else the Playworkers
should know about.
FACE PAINTING - Please tick the box that is
applicable:                                                      a) I have no objection to my child using face paints    □
                                                                  b) I do not wish my child to use face paints          □
If my child goes on a supervised trip I will be asked to complete an additional consent form.

I consent to my child receiving medical treatment in the event of an emergency.

I understand that The Lawns Early Excellence Centre cannot accept responsibility for the child's
possessions or valuables whilst they are attending Lasar Extra Care sessions.

I will complete a new registration form if any of the above details change.

PARENT'S NAME (BLOCK CAPITALS):

MR/MRS/MS/MISS:
SIGNATURE:
DATE:
                                                        Office Use Only
                                                        Reg Fee
                                                        Date
                                                        Receipt No
                                                        Initials
                                                                                Initials        Date
                                                        Copy to Finance
                                                        Input onto Sage
                                                        Reg Invoice Raised

				
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Description: I understand that The Lawns Early Excellence Centre cannot accept