This form is to be completed by those who have already booked their places on Wild Rangers, and completing and submitting this form does not constitute making a booking.

Child Information

Your child’s name

Child’s date of birth

Parent / Guardian information

Name

Contact mobile number

Contact email address

Second emergency contact information
Second contact name

Second contact phone number

Health and medical information
Does your child have any of the following?
Allergies
Any medical, social, or emotional conditions requiring support
Any medication that we should know about

If yes to any of the above, or anything else we should know about, please provide further information below, detailing any support or action required

A member of Paignton Zoo staff may contact you, if necessary, for further information and to help understand your child’s needs more clearly.

Permissions

I give permission for a member of Zoo staff to undertake First Aid treatment as required.

I give permission for a member of Zoo staff to consent to emergency medical treatment should the need arise.

Date

You can opt-out of receiving communications from us, or change your preferences,
by contacting us at any time. We will never sell your personal information, and we
will never share your data with third parties for marketing purposes. For further
details of our Privacy Policy, please visit our website.
Please leave this field empty.