Club Spraoi

School Details:

School

I acknowledge that Club Spraoi are providing these services as an Independent contractor and on behalf of the board of management of the school by the trustees of the school and I understand and confirm that it has been made clear to me that no liability whatsoever will attach to or be accepted by the board of management of the said school or the trustees of the school for any neglect, action, default whatsoever of the said independent contractor his/her servant, agents and invites arising in any way out of or connected with this activity.

I have read, understood and agree to the above statement

Child Details:

Child First Name

Child Last Name

Child Address Line 1:

Child Address Line 2:

Child Country:

Child Gender

Child DOB

Class

Teacher Name

Does your child have any special dietary requirements?

If yes, please provide details:

Does your child suffer from any illness, allergies?

If yes, please specify

Does your child have any additional needs?

If yes, please specify:

Is there anything else that you would like to share with us about your child, to help us get to know them and to ensure that we can support them fully as they settle in?

Permission to photograph your child? (for use on our website/social media, newsletters, promotional material etc)

If NCS is applicable, please email support@clubspraoi.ie with the CHICK details.

+ Add another Child - Remove Child

Parent Details:

Parent First Name

Parent Last Name

Parent Address Line 1:

Parent Address Line 2:

Phone Number

Parent 2 Details:

Parent First Name

Parent Last Name

Parent Address Line 1:

Parent Address Line 2:

Parent Country:

Phone Number

I have read, understood, and agree to the terms and conditions

Emergency Details:

Please include a minimum of two emergency contacts in the event that you are not contactable in the case of illness or an emergency.

Emergency Contact 1:

Name

Relationship

Phone Number

Emergency Contact 2:

Name

Relationship

Phone Number

Emergency Contact 3:

Name

Relationship

Phone Number

Persons Authorized to Collect your Child:

Please include persons who may collect your child either frequently or occasionally.

Authorised person 1:

Name

Authorised person 2:

Name

Authorised person 3:

Name

Authorised person 4:

Name