Ages 5-9, Summer Club Sign Up Form
RHJYC will be running a free and fun summer youth club during August, for children aged 5-9. All sessions will include a hot lunch. If your child is aged 10+, please fill out our older youth form. If you would like to join us, please fill in the form below!
*Limited spaces left, see allocation options near the end.
Did your child or children attend our Summer club last year?
*
Yes
No
Please complete all information below:
Name of child (1)
*
First Name
Last Name
Age of child (1)
*
5
6
7
8
9
Name of child (2)
First Name
Last Name
Age of child (2)
5
6
7
8
9
Name of child (3)
First Name
Last Name
Age of child (3)
5
6
7
8
9
Name of child (4)
First Name
Last Name
Age of child (4)
5
6
7
8
9
What school do they attend (from September 2024)?
*
If your children attend different schools, please list separately.
Please state any individual medical conditions, accessibility needs or dietary requirements that we should be aware of:
*
e.g. ADHD, needs wheelchair access, gluten free, halal etc.)
Please let us know the ages of all the children listed on this form:
*
Do any of the children listed receive free school meals?
*
Yes
No
Ethnicity of children:
Photo/video consent
*
Full consent
Partial (body parts apart from face is ok e.g. back, hands etc.)
No consent
How should we contact you about these activities?
*
Text
Email
Phone call
Phone:
*
-
Area Code
Phone Number
E-mail:
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sessions we are interested in attending:
*
Wednesday 7th Aug, 10am-12:30pm (FULL)
Thursday 8th Aug, 10am-12:30pm (FULL)
Wednesday 14th Aug, 10am-12:30pm (FULL)
Thursday 15th Aug, 10am-12:30pm (LIMITED)
Wednesday 21st Aug, 10am-12:30pm (LIMITED)
Thursday 22nd Aug, 10am-12:30pm (LIMITED)
Or add us to the waiting list
Activities that my children like or want to do (any suggestions welcome):
*
I would like to be contacted by:
Text
Email
Call
Further information:
The sessions during the Summer holidays can be very popular. If your child is unable to attend one or more sessions, please let us know as soon as possible so that we can invite other children on the waiting list. We will contact you once this form is complete to confirm your attendance and session times. Please make sure to respond to us so that we know whether to expect you on the day, or your place may be lost! Thank you!
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