Registration of Interest to attend the Christmas Party for Years Reception to 6

Your email address

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Child 1 full name

Child 1 year group (R, 1, 2, 3, 4, 5 or 6)

Child 2 full name ("NA" if none)

Child 2 year group (R, 1, 2, 3, 4, 5, 6 or "NA" if no second child)

Child 3 full name  ("NA" if none)

Child 3 year group (R, 1, 2, 3, 4, 5, 6 or "NA" if no third child)

Allergies?  If yes, please specify child's name with the allergy.

Special needs?  If yes, please specify the  child's name with the special needs requirement.

Emergency mobile number 1

Emergency mobile number 2

Keep in touch? Tick if yes