01Your details
Who should we contact about this registration?
02Emergency contact
Someone we can reach if we need to.
03Anything we should know?
Optional, but useful for helping everyone have a good time.
Optional · handled privately by the event team
Harrow event requirements
Media consent statementAt the request of Harrow Bush Nursing Centre, I hereby consent to the reproduction of photographs in which my child appears, in any Harrow Bush Nursing Centre publications, displays or paid advertising relating to the promotion of the Harrow Bush Nursing Centre and the School Holiday program: also in any publications (including the internet, newspapers and magazines) produced by any other agencies to which the Harrow Bush Nursing Centre might supply the photographs for the general purpose of the promotion of the Harrow Bush Nursing Centre and School Holiday Program.
Please draw the parent or guardian signature.
Use a mouse, finger or stylus. The signature is securely stored with this registration.Your registration is stored securely. It may be viewed by authorised Level-Up! staff and the organiser of this event to manage your attendance.