Young Carers 9 - 17 Years - Rollback World Bedford Roller Disco
Complete the fields below to register for this event. Payment can be made below.
Young Carer Name
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Last Name
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Please advise us of any medical conditions or dietary requirements that we should be aware of, and any medication taken, including dosage.
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Please provide emergency contact details including full name and phone number. You can provide details for multiple people if you wish.
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I hereby grant permission for Carers in Bedfordshire to capture my image/or my child’s image in photography or film and/or make recordings of my/their voice. I further grant Carers in Bedfordshire the right to use my/or my child’s imagery and/or recordings in promoting the organisation on the website, in publications, on social media, marketing materials, displays or in the media.
*
Yes
No
I agree to inform Carers in Bedfordshire if my child cannot attend an event at my earliest convenience.
*
Yes
Please note there is a £5 cost per young person for this event. Please make payment below.
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Rollback World Bedford Roller Disco
£
5.00
Rollback World Bedford Roller Disco with skate hire.
Quantity
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Total
£
0.00
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