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Primary

Diwrnod o Ddawns

Price: £8

Event Title:

Event Dates/Times:

Event Organiser Email:

Spaces Required: Maximum 10 attendees per booking

Minus Plus

Attendees: Please enter the full names of all Attendants

(1) Child Name:

Date of Birth:

Additional Needs e.g Medical, Diet, Learning:

Parent:

Telephone:

I give Menter Caerffili permission to Photograph or Record Video of my child.

(2) Child Name:

Date of Birth:

Additional Needs e.g Medical, Diet, Learning:

Parent:

Telephone:

I give Menter Caerffili permission to Photograph or Record Video of my child.

(3) Child Name:

Date of Birth:

Additional Needs e.g Medical, Diet, Learning:

Parent:

Telephone:

I give Menter Caerffili permission to Photograph or Record Video of my child.

(4) Child Name:

Date of Birth:

Additional Needs e.g Medical, Diet, Learning:

Parent:

Telephone:

I give Menter Caerffili permission to Photograph or Record Video of my child.

(5) Child Name:

Date of Birth:

Additional Needs e.g Medical, Diet, Learning:

Parent:

Telephone:

I give Menter Caerffili permission to Photograph or Record Video of my child.

(6) Child Name:

Date of Birth:

Additional Needs e.g Medical, Diet, Learning:

Parent:

Telephone:

I give Menter Caerffili permission to Photograph or Record Video of my child.

(7) Child Name:

Date of Birth:

Additional Needs e.g Medical, Diet, Learning:

Parent:

Telephone:

I give Menter Caerffili permission to Photograph or Record Video of my child.

(8) Child Name:

Date of Birth:

Additional Needs e.g Medical, Diet, Learning:

Parent:

Telephone:

I give Menter Caerffili permission to Photograph or Record Video of my child.

(9) Child Name:

Date of Birth:

Additional Needs e.g Medical, Diet, Learning:

Parent:

Telephone:

I give Menter Caerffili permission to Photograph or Record Video of my child.

(10) Child Name:

Date of Birth:

Additional Needs e.g Medical, Diet, Learning:

Parent:

Telephone:

I give Menter Caerffili permission to Photograph or Record Video of my child.

Your Details: Please enter your details

Name:

Email:

Telephone:

I give permission for Menter Caerffili to take a photo or record a video of me and/or my child.

I give permission for Menter Caerffili to use Emergency First Aid is needed.

Event Alias:

Event Price:

Event Days Required:

Event Total:

Event Booking Reference:

Event Dates Selected:

Event Dates Alias:

Event Dates Clean:

Sesiwn Gemau Fideo Uwchradd

Price: £5

Sesiwn Gemau Fideo Cynradd

Price: £5

Trelyn Playscheme

Come along and have lots of fun during the summer holidays.

Price: £1

Cwm Gwyddon Playscheme

Come along and meet new friends through the medium of Welsh.

Price: £1

Parent and Child
Primary
Young People
Adults

Menter Caerffili

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