Name of child:

Address of Child: 

Age of Child: 

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Next of Kin Name: 

Next of Kin Address:

Next of Kin Telephone Number:

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Who should we contact in case of an emergency?

Name:

Telephone Number:

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Does your child have any allergies?

Please list:

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Does your child have any medical conditions?

Please list:

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I give permission for my child to attend Sports Camp

Signed _________________________________________

 

I give/do not give permission for photos of me child to be published on the Enon face book page

Signed__________________________________________

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