Richmond House Halloween Adventure

1. Review the form to ensure all information is correct

2. Click the "Print Form" button below

3. In print settings, select "Portrait" orientation and "Actual Size"

4. Complete the form by hand with a black or blue pen

5. Return the completed form to Richmond House staff

Transport and all meals included

For pricing information, please contact the booking team

Child's Information

First Name

Last Name

Date of Birth

Gender

School Name

School Year

Parent/Guardian Information

First Name

Last Name

Email Address

Phone Number

Home Address

Emergency Contact Name

Emergency Contact Phone

Medical Information

Doctor's Name

Doctor's Phone

Known Medical Conditions

Please list any medical conditions, allergies, or disabilities we should be aware of

Current Medications

Please list any medications your child is currently taking, including dosage and frequency

Allergies (food, insect stings, etc.)

Please list any allergies and required treatment

Dietary Requirements

Please list any special dietary requirements

I consent to my child receiving emergency medical treatment, including anaesthetic, as considered necessary by the medical authorities present.

Activity Permissions

I give permission for my child to participate in all the activities listed above.

I give permission for photographs/videos of my child to be taken during activities for promotional purposes.

I give permission for my child to travel in the transport provided by Richmond House.

Terms and Conditions

I have read and agree to the terms and conditions outlined above.

Parent/Guardian Declaration

Parent/Guardian Signature

Please sign in the box above

Date

Residential Registration Form & Parental Consent