Please state N/A if a question does not apply. Collection password to be kept confidental and only to be shared with those who are collecting your child. Parent/Guardian Name * First Name Last Name Email Address * Phone * (###) ### #### Child's Name * Child's Age * Child's Allergies/Intolerance * Child's Learning Needs/Requirements * Child's Medical Needs/Medication * I give permission for first aid to be administered if required. * Yes No I give permission for my child to have refreshments during the session. * Yes No Who will be collecting your child? * Collection Password * * Happy Healthy Minds is committed to protecting and respecting your privacy. By submitting this form, you consent to receive communications from us regarding our services. Your personal information will be processed in accordance with our data protection and privacy policies. You can unsubscribe at any time by clicking the link in our FAQs or contacting us directly. I agree to receive updates, exclusive content, and early access notifications from Happy Healthy Minds. I understand that I can unsubscribe at any time. Thank you for registering your interest!We look forward to seeing you soon! Drop Off Consent Book a session Don't miss out on the opportunity to give your child a head start with our innovative programs. Be the first to receive updates, exclusive content, and access to book our workshops!
