April Movie & Pizza Night

Please complete the form below. We require this information to satisfy our statutory obligations and ensure the speedy and accurate communication in case of an emergency. This form must be completed before your child can participate in the activity. All information is held safety and securely inline with GDPR recommendations and Dudes & Divas Entertainments is registered with the ICO.

Parents/ gardians Name

Child's Name

Address

Child's Date of Birth

Please state any medical conditions/disabilities that the leaders should be made aware of. For example allergies, asthma, heart conditions, any physical or sensory impairments. If medication is required please note below and if this is self administered or not. Eg. If your child has inhalers or an Epipen it is essential that this information is passed on to the leader in charge and permission to administer these in case of an emergency.

Please state any food allergies your child has. (include if they carry an epipen)

Permission for photographs/video to be taken. This includes permission to be used across our social media channels/website. (Yes/No)

I would like to be contacted about future events via (please tick)

This event is a drop off and collection event only. Please ensure children are happy to be left off and are able to toilet themselves.