We Love feedback Your Name * First Name Last Name Email * Phone (###) ### #### Has your child attended a LSA weekly class or holiday workshop Yes No I don't know Do you send your child to a class/hobby on weekends Yes No I don't know Which day of the week do you prefer activities and classes to be on? Has your child attended art club/lessons before? If you have any more feedback please note it here. Thank you! By submitting your feedback, your name will be entered into a prize draw to win a free place next term! MEdical consent form Childs Name * First Name Last Name Name of Doctors Surgery Doctors Surgery Address Doctors Phone Number Does your child or the child in your care have any known medical problems or additional needs? (Please list) Please detail any medical needs your child has/medication taken: (please provide full details, if medication is needed an additional medication consent form will need to be completed) Does your child have any dietary requirements? * Does your child have any known allergies? (an Allergy Management Plan will be put in place where required) * Does your child have any known allergies? (an Allergy Management Plan will be put in place where required) * Any other information relevant to your child’s health In the event that my child is involved in a serious accident I expect to be contacted immediately on the above telephone numbers. In the event that my child requires immediate medical treatment before I can get to the hospital I hereby authorise the staff member present to consent to any emergency medical treatment necessary to ensure the health and safety of my child on my behalf. YES NO Print name and Date Thank you for you consent form.
