Maryhill Junior Fun Cafe

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* 1. Please tick the session you want to sign up for

Monday 4pm - 5.30pm

Tuesday 4pm - 5.30pm

Wednesday 4pm - 5.30pm

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* 2. How many children will be attending.

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* 3. Child's full name. Please note it is one box per child.

Child 1 -

Child 2 -

Child 3 -

Child 4 -

Child 5 -

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* 4. Childs Date of Birth (17/02/2009)

Child 1 -

Child 2 -

Child 3 -

Child 4 -

Child 5 -

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* 5. Address inc flat number

Name

Address

Address 2

City/Town

ZIP/Postal Code

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* 6. Contact information

Email Address

Phone Number

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* 7. Parent/ Guardian contact details

Name

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 8. Do any of the participants have any dietary requirements?

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* 9. This question is for Maryhill Housing Association Tenants only.

Do you require help accessing and using IT equipment? If so please enter your information

Name

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 10. As the legal guardian I agree to photographic or recorded images being taken for the purpose of promotional material including YoMo social media pages.

Agree

Disagree

Maryhill Junior Fun Cafe

Question Title

* 1. Please tick the session you want to sign up for

Question Title

* 2. How many children will be attending.

Question Title

* 3. Child's full name. Please note it is one box per child.

Question Title

* 4. Childs Date of Birth (17/02/2009)

Question Title

* 5. Address inc flat number

Question Title

* 6. Contact information

Question Title

* 7. Parent/ Guardian contact details

Question Title

* 8. Do any of the participants have any dietary requirements?

Question Title

* 9. This question is for Maryhill Housing Association Tenants only.Do you require help accessing and using IT equipment? If so please enter your information

Question Title

* 10. As the legal guardian I agree to photographic or recorded images being taken for the purpose of promotional material including YoMo social media pages.

* 9. This question is for Maryhill Housing Association Tenants only.

Do you require help accessing and using IT equipment? If so please enter your information