My Account | CHIMNEY SWEEP

07919496020 info@chimneysweeptc.co.uk

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Registration

First Name *

Last Name *

Relationship to child/children *

Phone *

User Email *

User Password *

Emergency Contact Details

Please note: these details need to be different from the main account holder

Full Name *

Relationship to Child/Children *

Telephone Number *

Child/Children Info

Please provide details of any children you may register with us now or in the near future. These details are confidential and kept safe. It simply means you will not need to re-register in future.

Child 1

Full Name *

Date of Birth *

School currently attending *

Allergies & Medical Information

Child 2

Full Name

Date of Birth

School currently attending

Allergies & Medical Information

Child 3

Full Name

Date of Birth

School currently attending

Allergies & Medical Information

Permissions

Photographic Consent *

Yes
No

I give consent for my child's photograph to be taken and used by Chimney Sweep for displaying great work and occasional publications and social media platforms. Children are NEVER named.

Privacy Policy *Please check this box to confirm you have read and understood our privacy policy