JEF Register Interest Form

Parent/Carer Name

First

Last

Email Address

(Tick best? Which

Telephone Number

Child's Name

First

Last

Child's Age

Which school does your child attend?

Which activities would interest your child? (Tick all that apply)

If we offered an after-school club, which days would work best? (Tick all that apply)

How likely would you be to join Junior Elysian Farmers if it launched?

Any comments, suggestions or questions? (Free text box)

Consent Checkbox