Jesse Tree registration form

Jesse Tree Registration Form

Adult (your name):*
Your relationship to the registered child/ren:*
Child (1) Name::*
Child (1) date of birth::*
Child (2) name::
Child (2) date of birth::
Your home address:*
Home and/or mobile telephone number:*
Your email address:*
Are you first-aid trained (in case of accident/emergency)?:*
Emergency contact details: name, relationship, number and address of someone who is able to come and collect you and/or any of the children within your care::*
I agree that i am responsible for the behaviour and safety of the child(ren) who I bring to the Jesse Tree Stay and Play. I have read the rules of safety and enjoyment.:*
Our contact number is 07907 779814. Please indicate how you would prefer to be contacted with news, updates and events throughout the year. Would you also like to join our Jesse Tree WhatsApp group?:*
Text Message
Yes - put me in the WhatsApp group
Have you had your Covid-19 vaccination?:*
Yes - 1
Yes - both
Not yet
Prefer not to answer
Please enter the verification number on the right:*
one two two two six
* Required Fields