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Student
First Name
Surname
Gender
Please Choose
Nonbinary
Male
Female
School Class (for Breakfast Clubs)
Emergency Contact Number
Medicals/ Additional needs
Not applicable
Other
ADHD
Allergies
Anaphylaxis
Asthma
Autism
Diabetes
Epilepsy
Additional Medical Details regarding additional needs/ allergies/ medication etc. Please include as much info as possible
Consent for Photography
Yes and for use on Social Media
Yes, not on Social Media
No
Do you allow for first aid to be administered to yourself/ your child by a qualified first aider, in the case of them injuring themselves?
In an emergency, if you cannot be contacted, are you willing for you/ your child to receive necessary hospital treatment including anaesthetic?
Yes
No
Customer
First Name
Surname
Email
Password
Password confirmation
I am happy to be added to WhatsApp groups
Yes
No
How did you hear about EDA?
4 weeks notice to leave noted
Yes
No
I agree to the
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