Tots to Teens Registration Form

Child's Name(*)
Please let us know your name.

Child's Date of Birth(*)

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Address(*)
Please let us know your address.

Postcode(*)
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Child's School
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School class (e.g. P1, P2 etc.)
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Parent/Guardian Name(*)
Please let us know your name.

Contact Number(*)
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Email Address(*)
Please let us know your email address.

Preferred email address for communication from ASV such as cancellations, event info, etc.

Tots to Teen activities (please select all that apply)(*)

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Emergency Contact Name(*)
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Emergency Contact Number(*)
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Does the above participant have any medical conditions/allergies/ disabilities?(*)

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Please detail any medical conditions/ allergies/disabilities?
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Photography Policy(*)
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Photographs may be taken for advertising and display purposes by approved ASV photographers. Please select 'No' if you do not agree to your child being included in such photos.

Join Mailing List(*)
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Please select 'No' if you do not wish to be added to our Tots to Teens mailing list.