Tom's Playtime Registration Form

Carer's full name *

Relationship to child

Email Address *

Mobile Number *

Home Address

First Name *

Preferred Name

Last Name *

Gender

Date of Birth *

Any information that would be helpful for us to know about your child:

I give permission my child to appear in photos and/or videos that may be used for St Thomas' promotions

Photo Permission *

I understand that my child(ren) are under my supervision at all times *