Child registration form for Parents/Carers

After submitting your child's form, the Superpower Sleuth will be in touch to discuss your booking. If there is no space on the pop-up of your choice, their name will get added to a waiting list

Child's name

Child's date of birth

Child's age

Child's school

Child's nationality

Child's religion

Language(s) spoken at home

Details of any special educational needs/disabilities

Allergies or special dietary requirements

Any other information we should know about

What are your main concerns about your child's development?

1st Service of choice

2nd Service of choice

Parent/Carer's name

Address

Phone

Emergency contact name

Emergency contact phone

Emergency contact relationship to child

I agree for my child to be photographed from the back of their head for social media purposes knowing that photos may be retweeted & shared within these forums

I agree for my child to receive necessary first aid / medical attention in my absence. If answering No, I will agree on an action plan with the provider to get my child the medical attention they require

I am aware there is a Safeguarding Children & Child Protection Policy in place, and may ask the provider to see a copy

I am aware all information disclosed is protected by General Data Protection Regulations (GDPR 2018)

I agree to the terms & conditions which I have read on the website & understand fully

Signed

Date

T&Cs