Email Details
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Session Information
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Type
Start Date
yyyy/mm/dd
Time
Details
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Street Address
Town/City
Postal Code
Email
Phone Number
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Do you require child minding for additional children during this session?
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Child Minding Information
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How many children do you require child minding for?
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1
2
3
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Child Minding Session ID
Child 1 Information
Child 1 First Name
Child 1 Last Name
Child 1 Birthdate
Does your child have any allergies?
Yes
No
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Photograph permission (Check this box if Yes)
Additional Child Details
What would you like us to know about your child?
Child 2 Information
Child 2 First Name
Child 2 Last Name
Child 2 Birthdate
Does your child have any allergies?
Yes
No
Provide details of allergies here
Photograph permission (Check this box if Yes)
Additional Child Details
What would you like us to know about your child?
Child 3 Information
Child 3 First Name
Child 3 Last Name
Child 3 Birthdate
Does your child have any allergies?
Yes
No
Provide details of allergies here
Photograph permission (Check this box if Yes)
Additional Child Details
What would you like us to know about your child?
Emergency Contact
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Phone Number
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