Summer 2024 Holiday Activity Booking Form

Holiday Activities Summer 2024 Participant Booking Form

Fill out the form carefully for booking
Parent/Carer Name*

First NameMiddle NameLast Name
Date of Birth*

DayMonthYear
Gender*
Full Address *
Postcode*
E-mail
example@example.com
Telephone number*
Dates you and your child(ren) are attending (Please click on all the dates you would like to attend)*

Monday 22/07/24 10am - 2pmTuesday 23/07/24 10am - 2pmWednesday 24/07/24 10am - 2pmThursday 25/07/24 10am - 2pmMonday 29/07/24 10am - 2pmTuesday 30/07/24 10am - 2pmWednesday 31/07/24 10am - 2pmThursday 01/08/24 10am - 2pmMonday 05/08/24 10am - 2pmTuesday 06/08/24 10am - 2pmWednesday 07/08/24 10am - 2pmThursday 08/08/24 10am - 2pmMonday 12/08/24 10am - 2pmTuesday 13/08/24 10am - 2pmWednesday 14/08/24 10am - 2pmThursday 15/08/24 10am - 2pm
Number of Children attending on Free School Meals *
Number of Children attending *
Names, Date of Birth and School of each young person attending*
Please enter name and HAF code for each eligible child
Do any of the people attending have a disability?
If yes, please give details
Do any of the people attending have any dietary requirements?
If yes, please give details
How do you describe your ethnicity?
Do you consent to us recording your details for our funder?*
Media Consent: By ticking the boxes below, I consent to my Child's Photograph/Videos being taken and used for the purposes outlined.*

Social MediaInternal CommunicationsExternal CommunicationsI do not give consent for my Child's Photo to be taken
I confirm that the above information is complete and correct*

Yes
Should be Empty:

Holiday Activities Summer 2024 Participant Booking Form