REGISTRATION FORM All information contained in this Registration Form must be completed in full prior to the child attending the Club. BASIC DETAILS Site Name....................... Full name of child Date of birth name Gender M/F Child’s preferred Name of parent/s with whom the child lives 1. 2. Address Contact Details Home Work 1. 2. Mobile Email Address Please name any siblings currently registered with Playfit Kids Clubs Bill Payers Name: Email Address (if different from above) Contact Details Home (if different from above) Work Mobile Name of parent/s with whom the child does not 1. 2. live Does this parent/s have parental responsibility? Yes / No Does this parent have legal access to the child? Yes / No Are there any other people that cannot have 1. access to the child? If so, please list 2. 3.
REGISTRATION FORM All information contained in this Registration Form must be completed in full prior to the child attending the Club. BASIC DETAILS Site Name....................... Full name of child Date of birth Child’s preferred name Gender M/F Name of parent/s with whom the child lives 1. 2. Address Contact Details Home Work Mobile Email Address 1. 2. Please name any siblings currently registered with Playfit Kids Clubs Bill Payers Name: Email Address (if different from above) Contact Details (if different from above) Home Work Mobile Name of parent/s with whom the child does not live 1. 2. Does this parent/s have parental responsibility? Yes / No Does this parent have legal access to the child? Yes / No Are there any other people that cannot have access to the child? If so, please list 1. 2. 3.
playfit_registration_form_june_18.docx