Parental Consent Form

Child Full Name*

First NameLast Name

Child Year Group *

Current School Year Group

Any Medical Conditions/ Allergies/ Information we should be made aware of*

YesNo

If selected Yes - Please provide full details *

Child Home Address

Street Address

Street Address Line 2

CityCounty

Postcode

Name of Parent/Guardian *

Email*

example@example.com

Emergency Contact Number (1) *

Please enter a valid mobile number

Emergency Contact Number (2) *

Please enter a valid mobile number

Which Camp Do You Wish To Attend*

Sports And Activity (Mon 13th - Fri 17th)Football (Tue 14th - Thur 16th)Mini (Mon 13th , Tue 14th , Fri 17th )

Which Days Would You Like To Book*

Bouncy Castle Waiver: I hereby agree that GJWSPORTS will not be liable should any injury occur to my child/ren when accessing either bouncy castle during the holiday camp at Reedings Junior School on Wednesday 15th February 2023.*

AgreeNot attending the holiday camp on Wednesday 15th February

Photo/Video Consent*

YesNo

**To complete your registration payment is required. Once your registration and payment have been submitted, please take this as confirmation that your booking has been completed.**

All camps are charged at £22 per day per child.

Payment details are as follows:

Business Account
Gershon Williams-GJWSPORTS
Sort code – 557049
Account Number – 83780637
Reference – SurnameHTC

We can accept Childcare Vouchers as partial or full payment from the following companies as we are Ofsted registered as a childcare provider:

Eden Red – Carer Account Number p21329385

Computer Share – User ID Number 0026870522 Setting Name - Wrap around club

Sodexo – Carer ID – 916180 Setting Name – Wrap around Club

Reward Gateway – Childcare ID – 31873995407

Care -4 – Account Number - 76747804

Faircare - Account reference - WEAP1122

Tax Free Childcare booking information - Account Name – Wrap around Club - CM219DD

The main entrance gate will be open at 08:50, collection at 15:00 will be at the same location.

Please ensure children bring:

x1 Large bottle of water, x2 snacks, x1 Healthy lunch, x1 wellington boots/outdoor footwear + indoor footwear (Sports camp + Mini Camp ONLY)

Apprioate clothing/footwear to take part in extra curricular activities.

Football camp, please bring the following:

Football boots, shin pads, long socks, trainers/sliders to wear inside, goalie gloves if wanting to play in goal, sports kit/football kit.

Bike/Scooter Tuesday, please ensure children bring their own bike/scooter plus the following:

Helmet, elbow pads, knee pads, protective gloves. please ensure your child is proficient at riding/cycling a bike or scooter to ensure the safety of your child during activities.

Cupcake Friday, please confirm with us if your child has any allergies or dieatry requiremnts

Should you require further information email: enquiries@gjwsports.co.uk