Nature’s Firework Wonders Booking Form Name(s) of adult(s) * First Name Last Name Email * Contact phone number (###) ### #### Name(s) and age(s) of child(ren) * Medical Information Any allergies? Yes/No . If Yes, Please list Any special dietary requirements * Additional Information Is there anything you would like to let us know about you or your child(ren), to help us provide the best experience? For example, any physical or sensory adaptations or ways of communicating that help? * Clothing We will be enjoying the outdoors in November, so please dress everyone warmly, bring extra layers, waterproofs and wear covered shoes/boots. Please add me to your mailing list Yes No Consent * By submitting this form, as a parent/guardian of the child(ren) named above, I agree to accompany and supervise my child(ren) during this event, following the guidance of the event leaders. Yes No Emergency First Aid Consent I consent to the provision of emergency first aid to my child, if required in the event of an accident during a session. Yes No Thank you!
