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Leafy Legends Birthday Party Consent Form

Participant Information

Birthday
Day
Month
Year
Gender
Male
Female
Other

Health & Safety

Any allergies, medical conditions, prescribed medication, or emergency advice?
a. Yes
b. No
Any special dietary requirements?
a. Yes
b. No
Special needs or requirements
a. Yes
b. No
Tetanus vaccination received in last 10 years?
a. Yes
b. No
c. Unknown

Emergency Contact Information

Birthday Party Details

Consent & Acknowledgements

Additional Permissions

Guardian Information

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