Bee Active

First Name *

Last Name *

Gender *

Male

Female

Date of Birth *

Ethnicity *

Your relationship to the child *

School Attended *

Is there any dietary information we should be aware of? *

Yes

No

Does your child have any known allergies? *

Yes

No

Is there anything else we need to know about your child? *

This could be information about medical, medication, behavioural, special education needs or disabilities.

Yes

No

Media Consent *

I give permission for the child named above to be photographed or recorded whilst participating in Bee Active. The material may be used by Bee Active or our partner organisations. (both printed and digital).

Yes

No

Safeguarding *

Is there anything we need to know about your child in relation to Safeguarding?

Yes

No

Your Children

We want to ensure that every child that uses our services has an amazing experience, every time.