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First Name
*
Last Name
*
E-mail Address
*
Password
*
Confirm Password
*
Mobile Number
*
Phone Number
Total number of children you would like to register?
*
1
2
3
4
5
Child 1 | Name
*
Child 1 | Gender
*
Girl
Boy
Child 1 | Age
*
5
6
7
8
9
10
11
12
13
14
15
Child 1 | Medical Health Problem or Disability? (Add more info below)
*
No
Yes
Child 2 | Name
*
Child 2 | Gender
*
Girl
Boy
Child 2 | Age
*
5
6
7
8
9
10
11
12
13
14
15
Child 2 | Medical Health Problem or Disability?
No
Yes
Child 3 | Name
Child 3 | Gender
Girl
Boy
Child 3 | Age
5
6
7
8
9
10
11
12
13
14
15
Child 3 | Medical Health Problem or Disability?
No
Yes
Child 4 | Name
*
Child 4 | Gender
*
Girl
Boy
Child 4 | Age
*
5
6
7
8
9
10
11
12
13
14
15
Child 4 | Medical Health Problem or Disability?
No
Yes
Child 5 | Name
*
Child 5 | Gender
*
Girl
Boy
Child 5 | Age
*
5
6
7
8
9
10
11
12
13
14
15
Child 5 | Medical Health Problem or Disability?
*
No
Yes
And a few more questions to ensure that we are providing the best activities to our community.
Race / Ethnicity of the Children
*
British
Irish
European
Indian
Pakistani
Bangladeshi
Caribbean
African
South African
Chinese
Other Asian
White & Asian
White & Black Caribbean
Other Multiple Ethnicity
Are you a Bishop's Cleeve resident?
*
Yes
No
Please tick the box if you are happy with your child’s photo to be taken and used as per our policy on https://www.bishopscleeveparishcouncil.gov.uk/privacy-policy
Photo Consent
*
Yes
No
Additional Information
Only fill in if you are not human
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