STORY SQUAD BOOKING FORM

PARENT / CARER INFORMATION
Name *
Name
Phone *
Phone
CHILD 1 INFORMATION
Name *
Name
CHILD 2 INFORMATION
Name
Name
CHOOSE YOUR WORKSHOP(S)
Choose your preferred day / time that corresponds with the program you are enroling in.
Chid 1 workshop(s) *
Child 2 workshop(s)
Does your child have any allergies? Please explain symptoms and what to do in case of emergency.
Please list any other medical conditions, mental health issues, or disabilities (physical or mental) of your child we should be aware of.
EMERGENCY CONTACT DETAILS
Contact Name *
Contact Name
Phone *
Phone
*