CRECHE REGISTRATION FORM

NORTH WEST REGIONAL CONFERENCE 2021

27^th-28^th November, The Winter Gardens, Blackpool

The crèche at North West Regional Conference will run from 9am - 5pm on the Saturday (27^th) and 9am - 2pm on the Sunday (28^th).

Fill in the form below if you would like to register your child.

Please note that lunch will not be provided. Please pick up your child when you would like them to be fed.

If you would like to register more than one child, please complete this form and then a new application for each additional child.

Please answer the question below

Name of Parent/Guardian:

The format is incorrect

Please answer the question below

Email Address of Parent/Guardian:

Contact Number of Parent/Guardian:

Please answer the question below

Name of Child

Please answer the question below

Age of Child

Are there any allergens your child suffers from that we should be aware of?

Are there any other medical conditions that your child suffers from that we should be aware of? Please note that we cannot be held responsible for managing medication

Please answer the question below

Which day/s are you registering your child for?

Saturday

Sunday

Saturday And Sunday

Thank you for completing the form. We will be in contact about the space in due course.