Childsplay Adventureland
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Loyalty Card
To sign up to our loyalty card scheme, please fill out the following information as completely as possible. Required fields are marked with a *.
Your Name: * Address:
Telephone Number:  
Mobile Number:  
Email Address: * County:
Do you use our website:
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Postcode:
How many children do you have: * Child 1 Name: *
Age: *
Age:  
Age:  
Age:  
Age:  
    Child 2 Name:
    Child 3 Name:
    Child 4 Name:
    Child 5 Name:
How do you use the centre: (Please tick all that apply)
  Mum & Baby Room After school
  Weekday activities Birthday parties
  Special events To see Ellie the Elephant
Do you follow us on:

Facebook Yes No     (https://www.facebook.com/childsplayadventureland)
 
Twitter Yes No     (http://twitter.com/#!/ChildsplayAD)
     

We will not share your personal information with any third parties.

 
 
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