Holiday Club August 2023: 11-13 year olds (NOW FULL)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

7-10th August 2023, 9.30am-3.30pm

Parent/carer email *

Child's first name *

Child's second name *

Child's pronouns (how your child would like us to refer to them) *

She/her

He/him

They/them

Other:

Child's year group *

Child's D.O.B *

Child's current school *

Emergency contact full name *

Parent/carer name *

Parent/carer phone number *

Postcode *

Please provide a 2nd emergency contact number *

Is your child on the SEND register or do they have any additional needs we should be aware of? *

Yes

If you answered 'yes' to the above please detail your child's needs below

Does your child currently receive 1-2-1 support? *

Yes

Is your child a looked after child? *

Yes

Is your child eligible for free school meals? *

Yes

Does your child have any allergies we should be made aware of? If yes, please write them below

Does your child have any medical needs we should be made aware of? If yes, please write them below

What is your child's shoe size? (for wellies) *

Will your child be making their own way home? *

Yes

We have a friendly dog on site called Quinn. Please let us know if your child has a dog allergy or any concerns.

Would you like to be added to our mailing list to find out about future programmes and events?
*

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of We Are Grow. Report Abuse