Order Number Parent Information First Name * Last Name * Email Address * Home Address * Mobile Phone * Home Phone Your Child/ren's Information Feel free to contact me if you have any question! Child's Name * Age * Ethnicity Child is Allergic * YesNo Anything Important We Should Know About Your Child? Swimming Ability 0 Whittling Skill 0 Add Another Child to this Release Form YesNo Things to you need to know: Your child will get dirty, may climb trees and gain some mild scratches and bruises when interacting with natural play here. They will feed and groom animals. Roll down hills. On occasion we light fires and use knives for whittling in our playshops. We have safety procedures and guidelines for all of this and have Current First Aid providers. We create playshops on the farm, forest and bush here at Talking Tree Hill They are allowed to be barefoot in the digging pit, mudslide and in the grass. Permissions Photography Permission * YesNo Our programmes may be filmed and photographed. Please indicate your consent for TTH to use the data gained for various mediums in future use: eg on website, blog, Facebook and Instagram. Images will be used with integrity and within the ethos of our establishment. Permission for Trips Away From Talking Tree Hill * YesNo Includes swimming in the sea Bus Pickup? * YesNo Barefeet? * YesNo What Learning Experiences Are Important for Your Child/ren? * Emergency Contact Name * Emergency Contact Mobile *
