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All fields marked with * are required.Name* First Last Email* Password* Enter Password Confirm Password Strength indicator Phone*Secondary phone Add secondary phone number Secondary PhoneYour postcode*Full Home Postal Address* Street Address Address Line 2 City AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country I heard about Mother Nature from*GoogleFriend or Word of MouthMNS Email MarketingNetmumsMumsnetLeafletOtherI heard about Mother Nature from - other:*Secondary collector Add secondary collectors Due to Safeguarding, we need you to note anyone who has authorization to collect your child.Name First Last PhoneName First Last Phone Child's First Name*Child's Last Name*Boy / Girl*BoyGirlDate of birth (DOB)* Date Format: MM slash DD slash YYYY Name of Child's School*Year Group at Childs School*Select group...Reception123456'Class Name' at Child's School*If you are booking After-School Club, we need this information so the school can collect your child before each session (if you are booking for any other Service, just put 'X' in this field). This is your Child's 'class name' for the term and it enables us to find which specific 'class' your child is in. It is usually an animal, special name or number and letter e.g. Year 1 'Dolphin Class'. Collection Password*Type in here an easily memorable password that that you can verbally give when collecting your child e.g. animal, place, pet, sporting team name and / or numbers etcPermission to photograph/video child*YesNoWe sometimes take photos and videos for social media and marketing purposes; we will never include your child’s nameMedical Conditions/Health Concerns/Special Needs*Due to Safeguarding, it is mandatory that you tell us of any special needs, or medical conditions we should be aware of оr just mark N/A.Child’s Doctor or Surgery Name*Add a child 1 Add A CHILD Child's First Name*Child's Last Name*Boy / Girl*BoyGirlDate of birth (DOB)* Date Format: MM slash DD slash YYYY Name of Child's School*Year Group at Childs School*Select group...Reception123456'Class Name' at Child's School*If you are booking After-School Club, we need this information so the school can collect your child before each session (if you are booking for any other Service, just put 'X' in this field). This is your Child's 'class name' for the term and it enables us to find which specific 'class' your child is in. It is usually an animal, special name or number and letter e.g. Year 1 'Dolphin Class'. Collection Password*Type in here an easily memorable password that that you can verbally give when collecting your child e.g. animal, place, pet, sporting team name and / or numbers etcPermission to photograph/video child*YesNoWe sometimes take photos and videos for social media and marketing purposes; we will never include your child’s nameMedical Conditions/Health Concerns/Special Needs*Due to Safeguarding, it is mandatory that you tell us of any special needs, or medical conditions we should be aware of оr just mark N/A.Child's Doctor (name and surname)*Add a child 2 Add A CHILD Child's First Name*Child's Last Name*Boy / Girl*BoyGirlDate of birth (DOB)* Date Format: MM slash DD slash YYYY Name of Child's School*Year Group at Childs School*Select group...Reception123456'Class Name' at Child's School*If you are booking After-School Club, we need this information so the school can collect your child before each session (if you are booking for any other Service, just put 'X' in this field). This is your Child's 'class name' for the term and it enables us to find which specific 'class' your child is in. It is usually an animal, special name or number and letter e.g. Year 1 'Dolphin Class'. Collection Password*Type in here an easily memorable password that that you can verbally give when collecting your child e.g. animal, place, pet, sporting team name and / or numbers etcPermission to photograph/video child*YesNoWe sometimes take photos and videos for social media and marketing purposes; we will never include your child’s nameMedical Conditions/Health Concerns/Special Needs*Due to Safeguarding, it is mandatory that you tell us of any special needs, or medical conditions we should be aware of оr just mark N/A.Child’s Doctor or Surgery Name*Add a child 3 Add A CHILD Child's First Name*Child's Last Name*Boy / Girl*BoyGirlDate of birth (DOB)* Date Format: MM slash DD slash YYYY Name of Child's School*Year Group at Childs School*Select group...Reception123456'Class Name' at Child's School*If you are booking After-School Club, we need this information so the school can collect your child before each session (if you are booking for any other Service, just put 'X' in this field). This is your Child's 'class name' for the term and it enables us to find which specific 'class' your child is in. It is usually an animal, special name or number and letter e.g. Year 1 'Dolphin Class'. Collection Password*Type in here an easily memorable password that that you can verbally give when collecting your child e.g. animal, place, pet, sporting team name and / or numbers etcPermission to photograph/video child*YesNoWe sometimes take photos and videos for social media and marketing purposes; we will never include your child’s nameMedical Conditions/Health Concerns/Special Needs*Due to Safeguarding, it is mandatory that you tell us of any special needs, or medical conditions we should be aware of оr just mark N/A.Child’s Doctor or Surgery Name*Add a child 4 Add A CHILD Child's First Name*Child's Last Name*Boy / Girl*BoyGirlDate of birth (DOB)* Date Format: MM slash DD slash YYYY Name of Child's School*Year Group at Childs School*Select group...Reception123456'Class Name' at Child's School*If you are booking After-School Club, we need this information so the school can collect your child before each session (if you are booking for any other Service, just put 'X' in this field). This is your Child's 'class name' for the term and it enables us to find which specific 'class' your child is in. It is usually an animal, special name or number and letter e.g. Year 1 'Dolphin Class'. Collection Password*Type in here an easily memorable password that that you can verbally give when collecting your child e.g. animal, place, pet, sporting team name and / or numbers etcPermission to photograph/video child*YesNoWe sometimes take photos and videos for social media and marketing purposes; we will never include your child’s nameMedical Conditions/Health Concerns/Special Needs*Due to Safeguarding, it is mandatory that you tell us of any special needs, or medical conditions we should be aware of оr just mark N/A.Child’s Doctor or Surgery Name*Consent* I agree to the Privacy Statement and Data Protection Notice (GDPR).*Consent* I agree to the COVID-19 Parent Self-Declaration.*NameThis field is for validation purposes and should be left unchanged.
