Adult Name *

First Name

Last Name

Phone *

(###)

###

####

Child Name *

First Name

Last Name

I confirm I am happy for photos to be taken and shared on selective marketing platforms (including the school newsletter)

Yes

I confirm I give permission for a snack to be given to my child as part of the club

Yes

I acknowledge and understand that activities will be risk assessed, and that sessions will include development skills such as independence, resilience and as part of this, may include elements of appropriate risk including, but not limited to tree climbing, tool use etc. *

Yes