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Young People

Secondary Video Gaming Session

Price: £5

Chwefror 26 February

12:30-2:30pm

@Ysgol Gyfun Cwm Rhymni, Safle Gelli Haf , Fleur De Lys, NP12 3JQ

Event Title:

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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:

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

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Primary
Young People
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