Contact Form Carnival Response Members Name (s)*Member is:*of Primary school ageof Secondary school ageOver 16yrs of agea Club OfficerContact Email Address* Emergency Phone Number*Please select all that are applicableWe would like as many people associated with Bicester AC taking part in the carnival procession as possible, including parents. The member(s) named above will be taking part in the carnival procession 11:30 to 13:00 A parent or guardian is able to take part in the procession Member(s) is available if required to help with activities at Pingle field between 13:00 and 14:00 Member(s) is available if required to help with activities at Pingle field between 14:00 and 15:00 Member(s) is available if required to help with activities at Pingle field between 15:00 and 17:00 Member(s) is available if required to help with activities at Pingle field between 16:00 and 17:00 Member(s) is NOT available to help with activities at Pingle field between 13:00 and 17:00 Collection*Members of primary school age must be collected from Pingle Field after the procession (approx. 1pm) by a responsible adult. Please provide the name of the person that will be collecting the member(s) named above:Collection*Will the member(s) named above be collected from Pingle Field by a responsible adultYesNo, they can make their own way homeName of responsible adult collecting named member(s):*Permission* I give permission for the member(s) named above to take part in the Bicester Carnival procession with Bicester AC Permission* I give permission for the member(s) named above to take part in the Bicester Carnival procession and activities at Pingle field with Bicester AC Authorisers Name* First Last Date* Date Format: DD slash MM slash YYYY
