Explore 18th October youth club night sign up

Hi, please sign up each child seperately for our 18th October youth club night.

Name of child *

Home time: *

I will pick my child up

My child can walk home without me

I have signed my child up before using the online form? *

Yes

No (if no then please continue to fill out the form)

Age of child

Year at school

Parent contact number

Parent email address

We would like to offer the children various snacks at each film night. Please specify if there is any dietary requirements we should know about

Please let us know if there are any other medical details that we should be aware of

Anything else you would like us to know about your child?

* Required Fields