Parent/Guardian Name *
Parent/Guardian Name
A full description of each workshop can be found at
Additional Emergency Contact
Additional Emergency Contact
Medical Emergency *
By ticking this box the parent/guardian gives permission to Big Wild Imagination to seek medical treatment for the participant in the event that a parent/guardian cannot be reached.
Release of Liability *
By ticking this box the parent/guardian releases Big Wild Imagination from all liability and claims related to any loss, damage or injury that may be sustained by the participant while on the premises and under the supervision of Big Wild Imagination.