Contact

Event(Required)

Name of Young Person(Required)

Date of Birth(Required)

Emergency Contact(Required)

Phone(Required)

Cost and Payment Schedule (if applicable)

Doctors name and Contact Details(Required)

Details of any medications being taken(Required)

Details of any disabilities, medical conditions, abilities, additional needs or cultural needs that organisers need to be aware of?(Required)

Details of any infectious diseases they have been in contact with in the last few weeks(Required)

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If you would prefer to complete the form by pen, you can download it here.