Fun Club Registration Form

HOLIDAY FUN CLUB

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Your child will be attending camp on:
(required)

Week 1 – Monday 28th July Week 2 – Monday 4th August Week 3 – Monday 11th August

Parent/ Guardian Full Name

Address

Contact Email

Telephone number

Emergency contact name

Emergency contact telephone number

Child’s full name

Childs Date of Birth … 00/00/00

Age of child

Childs ethnicity?

Name of the school which your child attends?

Does your child have any medical conditions?

Does your child have any allergies that we need to be aware of? *Meals

Does your child receive free school meals?

Any other information that you would like us to know?

Do you give your consent for the child to attend the event?

Do you give consent for your child to be photographed and or filmed whilst attending the event? (This footage will be share via our social media platforms for promotional purposes only)