Guardian - mikebusey.com

Name of Child

First Last

Date of Brith

Parent/Gaurdian

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Does your child suffer from any medical conditions/allergies that The Sausage Castle should be aware of (including any current medication)*

Please provide details of medication that must be administered:

Emergency contact details: (If different from above)

First Name	Last Name	Relationship	Phone Number:

CONCENT PLEASE READ CAREFULLY*

I agree

a) I agree to my son/ daughter taking part in the activities on this property and fully understand that the activities today will be physical in nature and even with all responsible safety precautions taken there is always a chance of injury.

b) I confirm to the best of my knowledge that my son/ daughter does not suffer from any medical condition other than those listed above and does not have or is showing any signs of Covid-19.

c) I am fully aware that their will be snacks provided and that if my child has any special dietary needs or allergies it is my responsibility to make staff aware. I also understand that if those dietary needs cannot be accommodated by the staff it is my responsibility provide snacks for my child.

d) I understand that the Family Day at the Sausage Castle and all the activities related include a photography and film component in which my child will be both photographed and a photographer. I understand that these images will be used as promotional and social media content .

Signature of Parent/Guardian*

Kids Day