Heritage Summer School Registration - Chelmsford Community Support Centre

Please complete one form for each child. Fields marked * are required. If anything changes before the summer school, call us on +07932 199807.

About you

Parent or Guardian Name * Relation to Child *

Parent or Guardian Email * Parent or Guardian Phone *

About your child

Child’s Name * Age *

Health

Does your child have any medical conditions? * Does your child have any known allergies? *

Permissions

I give permission for my child to have their photograph taken I give permission for my child to be fed Signature of named parent or guardian * Typing your name here acts as your signature.