Easter HPS 2023

Easter Holiday Play Scheme 2023

By registering your child to attend our holiday playscheme you (parent or guardian) agree they may participate in activities delivered by Start It Right cic.
Young person:

Please note: your child must be ages 8-12 to register
Young Person's Name*

First NameLast Name
Preferred Name:
Gender*
Date of Birth:*

DayMonthYear
Date
Ethnicity*
Name of school:*
Address*

First line of Address

Second line of Address

Town/CityBorough

Postcode
Does your child have a disability and/or additional needs?*
Please provide further information in the box below:
Does your child have a medical condition/allergy?*
Please provide further information in the box below:
Registered for Free School Meals
Membership Photo

Please provide a clear headshot that does not include any other people. This photo is only used to identify you when attending our youth provision and will not be used for marketing or publicity purposes.
Take Photo
File Upload*

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Emergency Contact Details
Emergency Contact Name*

First NameLast Name
Relationship*
Address (Only fil in if different to the above)

First line of address

Second line of address

Town/CityBorough

Postcode
Main Contact Number*
Please enter a valid phone number.
Email*
example@example.com
Additional Emergency Contact Details
Additional Contact Name*

First NameLast Name
Relationship*
Address (if different to the one above)

First line of address

Second line of address

Town/CityBorough

Postcode
Additional Contact Number*
Please enter a valid phone number.
Additional Email*
example@example.com

Holiday Playscheme

Our holiday playscheme will take place from Monday 3rd - Thursday 6th April from 10 am - 3 pm (excluding weekends and bank holidays).
April 2023

Please see dates currently available - select date(s) your child will be attending:
Week 1

Monday 3rdTuesday 4thWednesday 5thThursday 6th
Sub total Week 1
Calculation Week 1
Number of days
Your Personal Data

By signing up as a service user, you agree to provide Start It Right cic with certain personal information, which we will process in accordance with all applicable data protection laws. We will also communicate with you about our services and your membership. You can opt out at any time by contacting us: support@startitright.org
Marketing and Publicity

Payment
Total to pay:
Payment declared:

My Payment *

GBPDescription

Card Details

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Easter Holiday Play Scheme 2023

Young person:

Membership Photo

Emergency Contact Details

Additional Emergency Contact Details

Holiday Playscheme

April 2023

Your Personal Data

Marketing and Publicity

Payment

Card Details