Easter holiday writing workshops
Child’s name ……………………………………………………………………….………………………………
Grade ……………………………………………………………………………………..……………………….….
Preferred workshop date: ……………………………………………………………………………………..
Medical conditions ……………………………………………………………………………………….….…..
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Parent’s name ………………………………………………………………………………………………………
Contact number ………………………………………………………………………………………..……..…..
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Emergency contact number ……………………………………………………….…………………….…….
I give permission for a photograph of my child/ren to be used for promotion in future events by Karen Comer and Side Door ………………………………………………………………………..