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Musicality Choir Joining Form
Student's Full Name
Student's DOB
Parents Name
Parents Email
Parents Phone
Full Address
Postcode
Emergency Contact Name
Relationship to child
Town
Emergency Contact Email
Emergency Contact Phone
Address
Post Code
Medical Information
Has your son/daughter had any serious illness, operation or accident in the last year? If so, please give details.
Has he/she had any illness during the past year? If so please give details.
Does he/she have any difficulty with a) hearing or b) eyesight
Are you aware of any problems of fainting attacks, tendency to nose bleeds etc, or allergies.
Yes
No
Does your child require any medicines, or special treatment about which the Organisation should be informed? If yes, please give details with instructions/actions that need to be taken in the event of an incident.
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