ART BE + ME Book Art Be + Me: ART be + me Full Name of Child * Child Age and DOB * Full Name of Child 2 Child 2 Age and DOB Full Name of Child 3 Child 3 Age and DOB Parents / Carers Name * Full Address and Postcode * Phone contact no 1 * Phone contact no 2 * Emergency contact * Email 1 * Email 2 Which School does your child attend? * Walking independently. Do you give permission for your child to walk home independently. (For children in Yr 5 or above) * Yes No Allergies. We provide simple snacks such as fruit, crackers, and juice. Please let us know if your child has any allergies, intolerance or special food requirements. S.E.N. Does your child(ren) have any special needs you would like us to take into consideration. Photo permission. We often like to share the creative talents of our children. Would you be happy for photos to be taken and to shared on our social media or website? * Yes No First Aid. In the unlikely event that your child may require first aid, do you agree that ARTBASH staff can carry out simple first aid.? * Yes No COVID safe! I have read the measures ARTBASH are implementing detailed on the website. I understand that ARTBASH endeavour to keep my child(ren) safe in line with current advice from Public Health England and the Department for Education to the best of their ability. I am happy form my child to take part under these terms. * Yes No Any Other Information? Place confirmation. ARTBASH will endeavour to reply by email confirmation of a place within 3 working days. Fees are to be settled within 3 working days to secure a place. * Yes Submit If you are human, leave this field blank.