Young Person’s Name information:(Required) First Surname Gender:(Required)Please Select…MaleFemaleDate of Birth:(Required) DD slash MM slash YYYY Age when starts course:(Required) Contact InformationName of Parent/Guardian:(Required) Address(Required) Street Address Address Line 2 City County Post Code Contact Number(s):(Required)Email Please indicate which course date you would like:(Required) Emergency Contacts Please list two emergency contacts. Name:(Required) First Surname Contact Number(s):(Required)Email:(Required) Name:(Required) First Surname Contact Number(s):(Required)Email:(Required) MedicalDoes your child have Asthma Allergies Epilepsy Diabetes Is your child allergic to penicillin?(Required)Please Select…YesNoIs your child currently receiving medical treatment?(Required)Please Select…YesNoPlease provide additional information(Required)Additional information, medical condition or support neededProtective Clothing To ensure every participant gets the most from this experience it is essential that they are provided with and wear the appropriate footwear and clothing for activities and weather For example: Wellington boots, sensible flat footwear, clothes that can get dirty and damaged (no jeans), waterproof jacket and trousers (wet weather), sun hat and clothes that cover neck and shoulders (sunny weather), gloves and warm coat (cold weather). If you wish to purchase Animal Academy Uniform please click HERE. Lunch Please bring a packed lunch. Late or Non-Collection Policy: In the event of a young person not being collected at their arranged finish time and a reasonable amount of time has elapsed, 15 minutes, staff will implement the following procedure – The manager/staff will endeavour to contact their parents/carer using the contact information held on file on the Child’s registration form. All reasonable attempts will be made to contact the parents/carer. If Hopwood Hall College is unsuccessful in contacting parents/carer the emergency contact(s) provided by parents on their child’s registration form will be contacted and asked to collect the child. In this event the person collecting the child will be asked to state the password provided by parents, this is detailed on the child’s registration form. In the event that non-collection occurs the child stays at Hopwood Hall College in the care of two fully-vetted workers until the child is safely collected. If no one collects the child and the staff are no longer available to care for the child, the Duty Manager will decide on the next form of action. A full written report of the incident will be recorded. Depending on circumstances, we reserve the right to charge parents for the additional hours. Safeguarding You must allocate a secure password if another named person other than yourself is collecting your child. Child collection password: HEALTH AND SAFETY INFORMATION All animals naturally carry a range of diseases, some of which can also affect humans. These diseases are known as ‘zoonoses’ and during work with animals human’s health may be at risk from them. Some of these diseases are not common in Great Britain and good hygiene practices will protect against them. It is essential that all cuts and grazes are covered, and that hands/arms are thoroughly washed before eating or drinking after being in contact with animals or their enclosures. All protective gloves provided must be used and all instructions given by staff must be followed at all times. All of our animals are regularly examined and screened by our vets. Please refer to the health and safety rules attached.DISCLAIMER(Required) I agree to the DisclaimerI give permission for the participant to take part on the Animal Academy programme and I understand that the course involves working with animals and animal contact, and in giving my consent I agree to all of the requirements stated previously, and that in the event he/she contravenes the conditions and safe working practices in place that Hopwood Hall College, its owners, employees or agents, will not be held responsible for any loss or injury sustained.DECLARATION(Required) I agree to the DeclarationI authorise Hopwood Hall College staff to administer or approve any medical treatment of first aid deemed necessary. I agree that Hopwood Hall College has the right to remove any disruptive children from our keeper courses. Hopwood Hall College will not accept responsibility for loss or damages whether to personal acts or property. Photographs/videos may be taken for publicity, advertisement or training purposes. If you wish for your child not to be filmed/photographed please let our staff know. Please be assured your personal details will be protected under the 1998 Data Protection Act. Course Application Forms will be stored in a locked file for quality assurance and auditing purposes. Parent/Carer name:(Required) Relationship to child:(Required) SignatureDate: DD slash MM slash YYYY