EKO 24hr CampOutBrewood Middle AcademyArrival Saturday 6th July at 10:30amCollection Sunday 7th July at 10.30amTotal Cost £42.00 This event is for for pupils at Brewood Middle Academy ONLYChild's Name* First Name Surname / Family Name School Year*Please select the School Year your child is in56Name of Parent/ Guardian* First Name Surname / Family Name Email*Mobile*Please provide one mobile phone number that you can be contacted on in the event of an emergency during the event.Does your child have any medical needs that we should be aware of?* None Asthma Allergies requiring an EPIPEN Other Allergies OtherPlease give more details of your child's medical condition if necessaryDoes your child have any dietary needs that we should be aware of?* None Vegetarian Vegan OtherPlease give more details of your child's dietary needs if necessaryWill your child need doctor prescribed medication during the CampOut?* Yes NoPlease give more details of your child's medication if necessaryI agree for First Aid to be administered by a qualified First Aider.* Yes NoI give my consent for photographs of my child to be used for EKO leaflets and social media* Yes NoI will provide a packed lunch for my child.*A hot meal on Saturday, breakfast on Sunday and healthy drinks and snacks will be provided over the course of the CampOut YesI understand my child will be expected to wear a waterproof jacket, trousers and wellies, with additional warm clothing (hats, gloves etc.), appropriate for the weather on the day* YesI wish to be kept informed of other EKO activities and events.* Yes NoAs the parent/guardian I have read, fully understand and am satisfied with the details supplied regarding this EKO event and I am happy for my child to take part.*Ticking 'Signed' means you have electronically signed for this. SignedBilling InformationPlease enter your billing informationFirst Name*Last Name*Email*Address*Address 2Town/City*County*Postcode*Country*I wish to pay for my child's place with Childcare Vouchers* Yes NoChildcare Voucher ProviderPlease provide name of childcare voucher provider.Total Cost of Event*Single Payment of £42.00Childcare Voucher Payment of £42.00