College Half Term Programme Spring Meadow Edutainment Spring Meadow Edutainment

PARTICIPANT INFORMATION

Name

First Last

Gender

Age

School

Class/Year

Address

Street Address State / Province / Region

PARENT/GUARDIAN INFORMATION

Parent’s name

First Last

Parent’s phone number

Email

Name of Person(s) authorized to pick up child

(Please provide valid Identification card)

Emergency contact

Relationship

Phone no

Does your child have any allergies/health issues?

Yes
No

If so, please specify

Is your child on any medication?

Yes
No

If so, please specify

What are your expectations for your child during this period?

Mode of payment

Electronic transfer
POS
Bank transfer

For electronic transfers, please find below the account information

Accounts Details

Account name: Spring Meadow Limited Account number: 0013729058, Stanbic IBTC Bank For online transfer, please include Half Term Program with the exact choice of activity in the description column, an evidence of payment is required for guaranteed registration, come along with it upon submission of form or email scanned copy back to us. For bank transfer, kindly come along with your teller when submitting the form.

Pick up/ off site consent

Kindly indicate pick up and drop off venue for your child

Meadow Hall Edutainment Centre

Pick up
Drop off

Drop off time: 8:00AM Departure to Meadow Hall Edutainment Centre between 8:00am- 8:30am. Please be punctual

Meadow Hall Lekki

Pick Up
Drop Off

Pick up time: 12:00PM for sports clinic and 2:00pm for others. N1000 fee will be charged for lateness after every

Consent

You have our permission, in the event of an emergency and in case you are unavailable to contact us, to authorize any physician, nurse practitioner or medical personnel to examine, interview, test and if necessary, treat my child as they may deem advisable
I hereby give permission to Spring Meadow Edutainment to photograph and/or videotape the student for educational or promotional purposes.
I attest that the information contained in this application is correct to the best of my knowledge. In addition, I have agreed to the policy and fee statement and agree to comply

Date

College Half Term Programme

Registration

PARTICIPANT INFORMATION

PARENT/GUARDIAN INFORMATION

Accounts Details

Pick up/ off site consent