Register Your Child – 4 and over

Please register your children and/or teenagers here.

Please note, if you wish to register more than two children, please email info@thegathering.media

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Name *

Age *

Details of any medical conditions

Recent surgery/known allergies/medical needs etc

Special dietary needs

Name of Child 2

If applicable

Consent Child medical

Age of Child 2

If applicable

Details of any medical conditions – Child 2

If applicable. Recent surgery/known allergies/medical needs etc

Special dietary needs – Child 2

Any other information the leader needs to know

Phone number should the leader need to contact you *

Address *

Parental Consent

• I give permission for my son / daughter to take part in all the activities.

Photography Consent

• I give consent for my child to be photographed during the event for promotional purposes.

Name of Parent/Guardian *

Date *

Submit