HAF Lewisham

Dynamic Coaching Inclusive Multi-Sports HAF Programm

PAID SPACES ONLY FORM

The Dynamic Coaching Inclusive Multi-Sports Summer HAF Programme offers an engaging, high-quality program tailored for young people to enjoy diverse activities, mixed games, and team sports. Led by expert coaches and designed to inspire and support, this program includes enriching activities, interactive games, and guidance on healthy eating.

Programme Highlights:

High-quality, well-planned sports activities and games
Professional coaching staff to ensure a safe, inclusive environment
Enrichment sessions that foster learning, teamwork, and positive role models
Healthy eating sessions to promote nutrition awareness

Eligibility for Free Places: Children and young people eligible for benefit-related Free School Meals or with refugee status can participate at no cost.

If you have an evoucher for a free space please book this through the Holiday Activities website:

https://www.holidayactivities.com/

VENUE - PLEASE TICK THE VENUE YOU WISH YOUR CHILD TO ATTEND:

Childs Name:

First NameLast Name

Date of Birth

DayMonthYear

Gender:

School Year Group:

Name of School:

Primary or Secondary School:

Ethnicity:

Siblings Name (if also booking on):

First NameLast Name

Date of Birth (sibling)

DayMonthYear

Gender (sibling):

School Year Group(sibling):

Name of School (Sibling):

Primary or Secondary School (Sibling):

Ethnicity (sibling):

Siblings Name (if also booking on):

First NameLast Name

Date of Birth (sibling)

DayMonthYear

Gender (sibling):

School Year Group(sibling):

Name of School (Sibling):

Primary or Secondary School (Sibling):

Ethnicity (sibling):

Home Address

Street Address

Street Address Line 2

Post code .

PARENT/GUARDIAN INFORMATION

Parent/Guardian

First NameLast Name

Mobile Number:

E-mail address

example@example.com

EMERGENCY INFORMATION

Emergency Contact's Name

First NameLast Name

Mobile Number:

Relationship

Does your child / young person have an Education and Health Care Plan at school?

MEDICAL INFORMATION

Does your child/young person have any Special Educational needs and/or disabilities - Please note this camp is not a SEND camp and we will not be able to offer 1-1 support.

If yes, please specify to ensure we can provide the support your child needs:

Does your child have any type of allergy including food allergies, a chronic illness/disability or have any other medical conditions?

If yes - please inform us what the allergy is and what to look out for eg, early signs of a reaction and how severe the allergy is, please also let us know about any chronic illness:

Does your child carry an Epi pen?

If yes do you give permission for one of the coaches to administer an EpiPen if needed?

Do you give consent for Dynamic Coaching/Lewisham Council to use your child's photograph or video on websites/social media channels

In order for Dynamic Coaching/Lewisham Council to comply with privacy regulations, we will need you to give consent to enable us to contact you regarding our camps via the information provided in this form;

Signature

PAID SPACES:

Block Booking of 4 days 27th,28th,29th, 30th July

£55.00

Block Booking of 4 days 3rd,4th,5th,6th August

£55.00

Block Booking of 4 days 10th, 11th,12th,13th August

£55.00

Block Booking of 4 days 17th,18th,19th,20th August

£55.00

Single Day bookings

£15.00

	Quantity	Price
27th July		£15.00
28th July		£15.00
29th July		£15.00
30th July		£15.00
3rd August		£15.00
4th August		£15.00
5th August		£15.00
6th August		£15.00
10th Augsut		£15.00
11th August		£15.00
12th August		£15.00
13th August		£15.00
17th August		£15.00
18th August		£15.00
19th August		£15.00
20th August		£15.00

Total

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Dynamic Coaching Holiday, Activities & Food (HAF) Summer Activity Camp

PAID SPACES:*

PAID SPACES: