Animal Academy Participant Form

Personal Details

Please fill this section out about you, the person booking the experience

First Name*

Last Name*

Contact Number*

Email*

Participant Details

Please note, we advise your tetanus vaccination should be up to date before attending this experience. It is your responsibility to ensure you are happy with the vaccination status of any child you are booking for.

Participant First Name*

Participant Last Name*

Date of Birth*

Are they physically fit and able?*

Yes
No

Please give details*

Do they have any disabilities or additional support needs?*

Yes
No

Please give details*

Do they have any behavioural conditions?*

Yes
No

Please give details*

Are they allergic to anything?*

Yes
No

Please give details*

Do they have any health conditions or medical concerns?*

Yes
No

Please give details*

Do they require medication?*

Yes
No

If yes, will they have it on them during the course?*

Yes
No

Please give details*

Will they be attending with a carer or support worker?*

Yes
No

Please give details*

Ethnic Origin*

Do you need to add the details of further participants?*

That you've booked for.

Yes
No

Participant 2 First Name*

Participant 2 Last Name*

Participant 2 date of birth*

Are they physically fit and able bodied?*

Yes
No

Please give details*

Do they have any disabilities or additional support needs?*

Yes
No

Please give details*

Do they have any behavioural conditions?*

Yes
No

Please give details*

Are they allergic to anything?*

Yes
No

Please give details*

Do they have any health conditions or medical concerns?*

Yes
No

Please give details*

Do they require medication?*

Yes
No

If yes, will they have it on them during the course?*

Yes
No

Please give details*

Will they be attending with a carer or support worker?*

Yes
No

Please give details*

Emergency Contact Details

Please provide at least one emergency contact who we should call in case of any incident during the course.

Emergency Contact First Name*

Emergency Contact Last Name*

Relationship to participant*

Emergency Contact Phone Number*

Parental Consent

Consent*

I give my consent

I give permission for the above named child/ren to partake in Animal Academy experience at BCA Zoo. I confirm that I have provided details of all relevant health and behavioural conditions that may impact their day. I understand that any information I did not provide that will impact the day may result in the cancellation of their Animal Academy place at short notice. I confirm that I have read the information provided and I am confident in the child’s ability to partake in this encounter safely and appropriately. I will ensure the participant is dressed appropriately on the day and has everything that they require including any medication. I understand that if the participant is not suitably dressed or prepared for the day that BCA will endeavour to resolve the situation to ensure the day can continue, but that they reserve the right to terminate or cancel the day if a resolution cannot be found. I confirm I have spoken to the participant and informed them of the information provided to me and they are still happy to partake and to behave sensibly and with respect to the animals and the staff. I understand that BCA will always act in the interest of participant, staff and animal welfare and thus cannot guarantee contact with any particular animals on the day. Specific activities are usually decided close to the date and will be based on animal health and suitability for their involvement in the day. If BCA staff are not confident in the suitability of an animal or an activity, it will not be used.

Please read this section very carefully and select the choices accordingly.*

I confirm I DO give consent for fully trained members of the BCA staff team to perform emergency first aid on my child if the need arises.
I confirm DO NOT give consent for fully trained members of the BCA staff team to perform emergency first aid on my child if the need arises.
I confirm I DO give consent for BCA to take photos of my child on the day and understand that these may be used for marketing purposes but will not be passed on to any third parties and my child will not be named.
I confirm I DO NOT give consent for BCA to take photos of my child on the day.

Please complete the Participant Form

Animal Academy Form

Personal Details

Participant Details

Emergency Contact Details

Parental Consent

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