cre8-it 2011

If you would like to come, please print this page using one form per child, and send it to:
Cre8-it
Rushall House
Scratchface Lane, Bradfield
Berks RG7 6DL
Name of Child:
Address:
Home Tel : Date of Birth:
School Attended:

Health Details
ASTHMA      ALLERGIES      EPILEPSY
Please specify:
Additional info (e.g. name of a friend also coming to cre8-it):
 

Emergency Contacts
Name: Name:
Tel. Tel:
Relation to Child: Relation to Child:

Collection info
Please provide a list of up to three people, (include parents) who have permission to collect this child.
1. Tel:
2. Tel:
3. Tel:
Adults will be asked to register children when dropping them off in the morning and sign to collect them every afternoon.

Please book me to come to cre8-it on (maximum two weeks per child):
Week 1: 1st - 5th August           Week 2: 8th - 12th August           Week 3: 15th - 19th August


I enclose a cheque to the value of £ made payable to the John Simonds Trust.
I give permission for: to attend Cre8-it 2011 for the week(s) indicated, to join in all the activities under the care and supervision of the Cre8-it staff and receive any First Aid needed:
Signed (Parent / Guardian)

Greenham Common Trust