360 Kids Booking Form Online booking form for the 360 Kids Fitness Academy and Daily Holiday Camps Childrens DetailsName of Child Attending*Name of the primary child attending camp.Date of Birth*Age at Camp*Details of Additional ChildrenPlease follow the formatting for the primary child attending.NameDate of BirthAge at Camp Dates AttendingDates Attending Camp*How many days will your child(ren) be attending our camp?1 Day2 Day3 Day4 DayChildren Attending*Please specify how many children will be attending each day. Price: £ 30.00 Quantity: Total to Pay Price: £ 0.00 Preferred Dates*Please write in the following format: DD / MM / YY Parent / Guardian DetailsFirst Name*Surname*Email* Home Phone*Work Phone*Address* Street Address Address Line 2 City County ZIP / Postal Code Emergency Contact DetailsEmergency Contact Name*Emergency Contact Phone*Medical InformationIs your child presently being treated for an injury or sickness or taking any medication?*YesNoIf yes, please explain: Does your child have a physical handicap or illness that would prevent him or her from participating in normal rigorous activity?*YesNoIf yes, please explain: Does your child suffer from any allergies?*YesNoIf yes, please explain: Consent and CertificationI, the undersigned, being the parent or legal guardian of the child named above, do hereby consent to the participation of my child in the activities conducted by Freestyle360 Kids Academy and certify that my child is physically fit and adequately prepared to participate in this event and the activities indoor and outdoor at Freestyle360.Medical Treatment AuthorisationI, the undersigned, understand that I will be notified in the case of a medical emergency. However, in the event that I cannot be reached, I authorise the calling of a doctor and the providing of necessary medical services in the event that my child is injured or becomes ill. I authorise one or more of the persons listed above including the 360 Trainers if no one can be reached, to make emergency medical care decisions on behalf of my child, if required by law or a health care provider. I, the undersigned, understand that the designated Freestyle360 Trainers reserve the right to restrict my child from any activity that they do not feel is within the physical capabilities of my child. If my child misbehaves or becomes harmful to other children a warning will be issued, if they receive 3 warnings they will be removed from the camp. I, the undersigned, confirm I have read, understood and agree to the Mud Disclaimer Form and herby give consent for my child to participate on the mud run course.Confirmation* By clicking this box I understand that my payment is non- refundable unless my child cannot take part due to injury or illness, or if we cancel the camp for any reason. Please note we have to have 5 children booked for the camps to run. We will notify you 10 days before the camp if we are not able to run the days you are booked. Signed and Printed*Date* SecurityGDPR Compliance* By ticking this box, I agree to allow Freestyle 360 to contact me regarding my enquiry only, using the information I have input into this form.