Friends registration form

Page 1

Friends – Play for Disabled Children Registration Form EVENT Parent Name(s): Address:

2nd June 2013 Parent Name (s):

SENSORY ZONE

Telephone: Email:

Mobile:

Please list all children who will access any of our activities including days out:

Name

DOB

Age

Diagnosis if known

Do we have your permission to take photographs of your child? (Used on Facebook, or for other publicity purposes such as funders)

School

YES/ NO

Do you receive access to other support services? (If yes please specify)

Code of Conduct: We want Friends - Play for Disabled children to be a safe place for our children to play, make new friends & learn new experiences and hope you will support us to achieve this. Participation is open to any family with a child with a disability. To access our events you must register for each event.

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Date..................................................

Friends – Play for Disabled Children Email: paula.friends-pdc@hotmail.co.uk or find us on face book at friends, play for disabled children Friends – Play for Disabled Children is a not for profit organisation


Friends – Play for Disabled Children Registration Form

Friends – Play for Disabled Children Email: paula.friends-pdc@hotmail.co.uk or find us on face book at friends, play for disabled children Friends – Play for Disabled Children is a not for profit organisation


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