impact Academies & Camps
Enrolment Form
Child details
Parent/Guardian details 1
Does this parent have parental responsibility?
Does this parent have legal access to the child?
Does the child live with this parent?
 
Parent/Guardian details 2
Does this parent have parental responsibility?
Does this parent have legal access to the child?
Does the child live with this parent?
Emergency contacts

You must provide at least one emergency contact!

Contact 1

Contact 2

Contact 3

Medical information
for in-person classes only
If the child needs to take any medication during his time at impact A&C, a parent consent is needed.
Download the Consent letter, fill it in and return a signed copy to banbridge@impactacademies.co.uk
PARENT/GUARDIAN CONSENT AND AGREEMENT FOR EMERGENCIES
Your child will be attending a two hour lesson per week on weekdays between 18:00-20:00 or a 2 hour lesson on weekend between 09:00-19:00
It can be 1 simple word (up to 12 characters)
YES/NO