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Emergency contact details

(They must be over 18 and be able to be contacted during playgroup hours.)

Contact One

Contact Two

Your child will only be able to leave our playgroup with those named above unless agreed in advance of collection.

Health information

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Other information

Consent

I give consent for my child to be taken to the doctor/hospital by a member of staff and to receive medical treatment if, in the opinion of a doctor/surgeon, a delay is likely to endanger my child's health or safety.

I give consent for my child to have their photo taken for displays in the playgroup or to be used on our private facebook page.

I have read and agree to the Privacy Policy.