Animal Days Out Competitions

Have You Got A Wild Child!

Activity Club RegistrationEnter the Competition


Please Complete this Form to Register Your Child with the Animal Days Out Activity Club. This should be completed by a parent or guardian with overall responsibility for the child during the course of the term.

A member of our Activity Club team will contact you upon receipt and confirm registration.
 
The fields marked (*) require completion.

If you require help completing the form, please contact 0845 604 4921

  1. Child Registration Form
  2. Child's Name(*)
    Please Type Your Name.
  3. Date of Birth(*)
    Invalid Input
  5. Is Your Child?(*)


    Please Select One Option
  7. Full Postal Address inc Post Code(*)
    Can you please complete this section.
  8. E-mail(*)
    Invalid email address.
  9. Home Tel Number
    Please Add Your Area
  10. Mobile Tel Number
    Invalid Input
  12. Emergency Contact Details
  13. Contact Name(*)
    Invalid Input
  14. Home Tel Number
    Invalid Input
  15. Mobile Tel Number
    Invalid Input
  16. Relationship(*)
    Invalid Input
  18. Medical Conditions
  19. Would You Describe Your Child As Having Any Disabilities?
  20. Please Tick Box(*)


    Please tick one of the boxes
  21. If Yes, How Would You Describe These?
    Invalid Input
  22. Please Tell Us About Any Medical Conditions Your Child May Have?
    Invalid Input
  23. Does Your Child Have Any Medication Which They Regularly Take or Carry With Them. (Please State)
    Invalid Input
  24. Do You Consider That Your Child Has Any Learning Difficulties?
  25. Please Tick Box(*)


    Invalid Input
  26. Consent and Agreement
  28. Please Tick Box If You Do Not Agree With Us To Do The Following



  29. Invalid Input
  31. Please Note That Personal Information May Be Kept On Our Computer Database In The Strictest Of Confidence. Please Tick If You Do Not Wish For It To Be Recorded
  32. Tick Box
    Invalid Input
  33. By Sending Your Registration You Agree To Abide By The Terms and Conditions of The Activity Club. You also agree to ensure that all the information is correct and up to date and will notify Animal Days Out if there are any changes during the course of the term. Terms Can Be Viewed At The Bottom Of This Page.
  35. Type the letters and numbers into the box to beat SPAM emails
    Type the letters and numbers into the box to beat SPAM emails
    RefreshInvalid Input
  36.   
  37. Thank-you for sending your Registration. Our Activity Club Manager will contact you in the strictest confidence. Your privacy is very important to us.


Activity Club Terms and Conditions
 

Follow Us!

Become A Fan On Facebook
Like		 Follow Us on Twitter
Follow
Tell A Friend
Tell A Friend		 Bookmark To Your Favourites
Bookmark