Please enable JavaScript in your browser to complete this form.Event Name *Childs Name *Age *Date of birth *Address *Emergency Contact Email *Emergency contact Name *Emergency contact phone *Medical Information School Attending *Days attending *MondayTuesdayWednesdayThursdayFridayWhat is your relationship to the child *ParentLegal GuardianOtherother selectedIf you have selected other please specifyHow will your child be getting home?My child will be collectedMy child will be able to leave on their own and walk.My child will be collected by?if applicable Additional informationPlease let us know if there are any other bits of information that we should know about your child while they are participating in the camp.Signature *Print NameI give my permission for Guiseley Community Foundation to contact me on the provided phone number and email *I acceptSubmit
