River School Waiting List
Please select the Holiday Club(s) you would like to book onto
May Half Term
Summer
Free Grant-funded Summer
Parent name
First Name
Last Name
Mobile Number
This will be assumed as the emergency contact number. If other, please provide in comments box.
Email
Number of children who would like a place
Name of child
First Name
Last Name
Age of child
School
Any special dietary requirements
Vegan, vegetarian, gluten-free etc
Medical conditions and allergies
Please give details of any physical or mental medical conditions that we should be aware of.
Can your child swim? Are they comfortable in the water?
This is not a requirement but is useful to know! All children will wear a buoyancy aid for any water-based activities.
Name of first child
First Name
Last Name
Age of first child
Child 1 - School
Child 1 - Special dietary requirements
Vegan, vegetarian, gluten-free etc
Child 1 - Medical conditions and allergies
Please give details of any physical or mental medical conditions that we should be aware of.
Child 1 - Can your child swim? Are they comfortable in the water?
This is not a requirement but is useful to know! All children will wear a buoyancy aid for any water-based activities.
Name of second child
First Name
Last Name
Age of second child
Child 2 - School
Child 2 - Special dietary requirements
Vegan, vegetarian, gluten-free etc
Child 2 - Medical conditions and allergies
Please give details of any physical or mental medical conditions that we should be aware of.
Child 2 - Can your child swim? Are they comfortable in the water?
This is not a requirement but is useful to know! All children will wear a buoyancy aid for any water-based activities.
Name of third child
First Name
Last Name
Age of third child
Child 3 - School
Child 3 - Special dietary requirements
Vegan, vegetarian, gluten-free etc
Child 3 - Medical conditions and allergies
Please give details of any physical or mental medical conditions that we should be aware of.
Child 3 - Can your child swim? Are they comfortable in the water?
This is not a requirement but is useful to know! All children will wear a buoyancy aid for any water-based activities.
Name of fourth child
First Name
Last Name
Age of fourth child
Child 4 - School
Child 4 - Special dietary requirements
Vegan, vegetarian, gluten-free etc
Child 4 - Medical conditions and allergies
Please give details of any physical or mental medical conditions that we should be aware of.
Child 4 - Can your child swim? Are they comfortable in the water?
This is not a requirement but is useful to know! All children will wear a buoyancy aid for any water-based activities.
Are you in receipt of Universal Credit or eligible for free school meals?
Yes
No
How did you hear about River School Holiday Club?
Friends or family
Through child's school
Web search
Facebook/Instagram post
Facebook/instagram ad
Leaflet
Other
Are you happy for us to use photos taken during River School to be used for publicity?
Yes
No
Any other comments/questions
Submit
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