Holiday Club Registration
Please fill out all 3 sections of the form
Section 1: PARENTS DETAILS
Please answer each question in full
Names of Parent or Guardian MOTHER
*
First Name
Last Name
Names of Parent or Guardian FATHER
*
First Name
Last Name
Mother
*
Please contact
Please do not contact
Father
*
Please contact
Please do not contact
Occupation Parent/Guardian
Mother
Occupation Parent/Guardian
Father
Country of Birth and Heritage
Mother
Country of Birth and Heritage
Father
Mother's Email
example@example.com
Father's Email
example@example.com
Contact Numbers
Mother
Father
Address
Street Address
Street Address Line 2
City
State / Province
Postal Code
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Section 2: ABOUT MY CHILD (part 1)
Child - full name
*
First Name
Last Name
Gender
*
Please Select
Female
Male
Other
Date of Birth
*
-
Month
-
Day
Year
Date
Ethnic or cultural heritage
*
(e.g.) Jamaican, English, etc
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Section 3: ABOUT MY CHILD (part 2)
Name of School
Year Group in School
Levels in school
Rows
Enter info below
English
Maths
Reading Age
Any additional learning needs
In receipt of free school meal
Yes
No
e-voucher number
Please type the e-voucher number in the space provided
e-voucher file upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Any foods your child does not eat (please list)
Any allergies (please list)
Any health issues
Any other information we should know
Data Protection
Upon receipt of your registration form MADE will be the Data Controller of your personal data. MADE will hold all the information you havegiven on this form for legal requirements and for the purposes ofadministration and statistical analysis. Your information will be held on a manual file and will also be enteredin its current or altered format onto the company’s computerised database. No information will be passed onto a third party.
SUBMIT APPLICATION
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