TERM Booking Form - Story Squad

STORY SQUAD BOOKING FORM

PARENT / CARER INFORMATION

Name

First Name

Last Name

Email

Phone

(###)

###

####

CHILD 1 INFORMATION

Name

First Name

Last Name

Age

School Grade

School

CHILD 2 INFORMATION

Name

First Name

Last Name

Age

School Grade

School

PRECAUTIONS

Allergies

Does your child have any allergies? Please explain symptoms and what to do in case of emergency.

Precautions

Please list any other medical conditions, mental health issues, or disabilities (physical or mental) of your child we should be aware of.

Anything else we should know about your child?

EMERGENCY CONTACT DETAILS

Contact Name

First Name

Last Name

Phone

(###)

###

####

Relationship to child(ren)

I have read and agree to the Story Squad terms and conditions