My Profile Existing Users Log InUsername or EmailPassword Remember Me Forgot password? Click here to resetNew User RegistrationYour First Name (Account Holder)*Your Last Name (Account Holder)*Email Address*Confirm Email*Mobile Telephone*Work Telephone*Address 1*Address 2Town or City*CountyPostcode*Where does the child(ren) live?*---- Select One ----Resides with both Parents at the address givenResides mainly with one parent at the address given (the account holder)Resides mainly with one parent not at the address given (not the account holder)Resides equally between two parentsIf required, please provide the second addressSecond Address 2Second Address Town or CityCountyPostcodeFull Name (First Child)*Date of Birth (First child)*Current Age (First Child)*Any Medical Conditions? (First child)*YesNoIf YES, please tell us about any medical conditions if NO just type NONE.*Any Allergies / Dietary Requirements? (First Child)*YesNoIf YES, please tell us about any allergies or Dietary Requirements, if NO just type NONE::*Please detail any additional or Special Educational Needs your child has (If not applicable please type NONE) (First Child)*Name of School (First Child)*Teachers Name (First Child)*Year Group (First Child)*Full Name (Second Child)Date of Birth (Second child)Current Age (Second Child)Any Medical Conditions? (Second child)YesNoIf YES, please tell us about any medical conditions if NO just type NONE::Any Allergies / Dietary Requirements? (Second Child)YesNoIf YES, please tell us about any allergies or Dietary Requirements, if NO just type NONE::Please detail any additional or Special Educational Needs your child has (If not applicable please type NONE) (Second Child)Name of School (Second Child)Teachers Name (Second Child)Year Group (Second Child)Full Name (Third Child)Date of Birth (Third child)Current Age (Third Child)Any Medical Conditions? (Third child)YesNoIf yes, please tell us about any medical conditions:Any Allergies / Dietary Requirements? (Third Child)YesNoIf yes, please tell us about any allergies, if no just type NONEPlease detail any additional or Special Educational Needs your child has (If not applicable please type NONE) (Third Child)Name of School (Third Child)Teachers Name (Third Child)Year Group (Third Child)First Emergency Contact Name:*First Emergency Contact Number:*First Emergency Contact - Relationship to the Child*Second Emergency Contact Name:*Second Emergency Contact Number:*Second Emergency Contact -Relationship to the Child*Name Of Family Doctors Surgery*Contact Number of Family Doctors Surgery** I Have Read and Agree to the Booking Terms and Conditions.MedspolicyI have read and understood the Raised Temperature and Pain Relief Policy and I give Permission for Little Acorns Clubs to administer the appropriate amount of Children's Paracetamol to my Child/Children in the event that their temperature is raised to 37.5 degrees or above*YesNoI Give Permission for my Child/Children to go on Short Outings*YesNoI Give Permission for my Child/Children to have photographs taken in the Club and used for display purposes or promotional use for the Out of School Club/Holiday Club on Social Media and Website*YesNoI agree to my Child/Children taking part in Club Activities and will inform the Club of any reason why my Child/Children can not participate*YesNoI Agree to Receiving Email Correspondence From Little Acorns Clubs, Including Invoices, Updates on my Child/Children and Termly Newsletters*YesNoThank you for registering with Little Acorns Clubs. Once you have submitted this form we will then receive it via email and be in touch with you with in 48hrs to follow up your registration.*Required field