NRG Nottingham

Fun Activities for your Local Community

Registration Form

*Childs name *Address
Childs Date of Birth *Parent/Guardians Name? We require two Parent/Guardian contact numbers for each child *Parent/Guardians Contact Telephone number 1 *Parent/Guardian Contact Telephone number 2 Parent/Guardians Email NRG Nottingham would like to ensure that children from all communities can access or sessions and activities. Please complete the Ethnicity monitoring section to help us do this.
Asian Indian
Asian Pakistani
Asian Bangladeshi
Asian Other
Black Carribean
Black African
Black Other
Chinese
White British
White Irish
White Other
Mixed White / Black Carribean
Mixed White / Black African
Mixed White/ Asian
Other
Please Specify Does your child have any allergies?
Yes
No
If yes, pleaase specify
Please specify any medical conditions that we need to know about.
*Which session are you attending?
Melbourne Park Sports
Rosslyn Park Primary KS1&2 Sport
Rosslyn Park Primary KS1 Move to the Beat
New Life Club
*Is your child allowed to walk home alone?
Yes
No