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Little Knightstars
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Team
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Contact us
Child Information form
Little Knightstars
Child Information form
matt@impact-digital.co.uk
2021-07-04T13:45:49+00:00
CHILD INFORMATION
Form
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Child's name
*
First
Last
Age
*
Date of Birth
*
Gender
*
Male
Female
Other
Gender - please specify
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Contact email address
*
Emergency contact - phone number
*
Allergies or Medical Conditions (if none, leave blank)
I give permission for photos of my child to be used in social media for publicity purposes
*
Yes
No
I give permission for the information on this form to be stored for Knightstar records only
*
Yes
No
Please sign below and then submit the form
*
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