Registration Form Please complete this form for each child you would like to register for a place in The Hive. By submitting this form you agree you have read and accepted The Hive’s Terms & Conditions. The Hive Registration Form Child Information Child's Forename * Child's Middle Name Child's Surname * Child's Date of Birth * Child's Gender * Male Female Child's Address Line 1 * Address Line 2 Address Line 3 City * Postcode * Telephone Number * Child's Ethnic Origin * Child's Home Language * Child's Religion * Child's Medical Details Name of Child's Doctor * Doctor's Address Line 1 * Address Line 2 Address Line 3 City * Postcode * Doctor's Telephone Number * Does your child have any known medical issues? * Yes No Please state any known medical issues Does your child have any known allergies or major dislikes? (Foods, materials, etc) * Yes No Please state any known allergies or major dislikes Do you give your consent to any medical treatment necessary during your child's time at the Academy? By selecting "Yes" you are authorising the Academy staff to sign any written form of consent required by the hospital authorities if the delay in getting your signature is considered by a doctor to endanger your child's health and safety. * Yes No Is there any other relevant information about your child you wish to share with us? If you are human, leave this field blank.