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Complete the form below and we’ll be in touch with you.

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

Other information
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.