AIC BOYS Excursion Form

CHILD 1 DETAILS
Child 1 Name

First NameLast Name
Child 1 D.O.B

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate of birth
Does your child have any allergies, medical conditions or disabilities?
Please list any allergies, medical conditions or disabilities
Do you give permission for photographs of your child to be published on our website or social media pages or used in brochures or special displays, please note that this may be accompanied by your child’s first name.

CHILD 2 DETAILS
Child 2 Name

First NameLast Name
Child 2 D.O.B

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate of birth
Does your child have any allergies, medical conditions or disabilities?
Please list any allergies, medical conditions or disabilities
Do you give permission for photographs of your child to be published on our website or social media pages or used in brochures or special displays, please note that this may be accompanied by your child’s first name.

CHILD 3 DETAILS
Child 3 Name

First NameLast Name
Child 3 D.O.B

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate of birth
Does your child have any allergies, medical conditions or disabilities?
Please list any allergies, medical conditions or disabilities
Do you give permission for photographs of your child to be published on our website or social media pages or used in brochures or special displays, please note that this may be accompanied by your child’s first name.

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