Tuesday Forest Play -Autumn#1

Please enter the details of the young person who will be attending *

	First Name	Surname	Age	Medical/Dietary Needs
1

STATEMENT OF CONSENT: I consent to the young person in my care to take part in an activity with Newquay Forest School. I understand that the site from which this session is run is a wild environment and as such will be subject to certain hazards (such as slippery surfaces and trip hazards). I recognise that failure to adhere to and uphold any relevant safety measures may result in injury. I have considered the risks involved in undertaking the activity, including the risk of bumps, scrapes, cuts, bruises and other injuries and agree for myself and those in my care to undertake the activity.*

I have read, understood and agree with the Statement Of Consent.
Signature - Please Use Your Mouse To Sign Below (don't worry, we don't mark neatness!)*
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Friday Holiday Club for 1 child£40.00

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