Jesse Tree registration form

Jesse Tree Registration Form


Adult (your name):*
Your relationship to the registered child/ren:*
Child (1) Name::*
Child (1) date of birth::*
Child (2) name::
Child (2) date of birth::
Your home address:*
Home and/or mobile telephone number:*
Your email address:*
Are you first-aid trained (in case of accident/emergency)?:*
Yes
No
Emergency contact details: name, relationship, number and address of someone who is able to come and collect you and/or any of the children within your care::*
I agree that i am responsible for the behaviour and safety of the child(ren) who I bring to the Jesse Tree Stay and Play. I have read the rules of safety and enjoyment.:*
Yes
No
Our contact number is 07907 779814. Please indicate how you would prefer to be contacted with news, updates and events throughout the year. Would you also like to join our Jesse Tree WhatsApp group?:*
Text Message
Email
Post
Yes - put me in the WhatsApp group
Have you had your Covid-19 vaccination?:*
Yes - 1
Yes - both
Not yet
Prefer not to answer
Please enter the verification number on the right:*
 one two one one one
* Required Fields

Jesse Tree rules of safety and engagement
Please read and familiarise yourself with these
Jesse Tree Registration Form - Word document
Please complete the form and email it to us or print it out and bring it on your first visit. You can complete the online form if you prefer.
Jesse Tree Stay and Play reopening letter
News about our re-opening arrangements
Stay and Play
The Jesse Tree