Summer Tech Camp White City 2023

Summer Tech Camp White City Registration

Book your free spaces here for the 4-week Summer Tech Camp with Urban Flyers, and complete our short pre-session survey. Dates: Mon-Thur from 24/07/23 until 17/08/23. Time: 3PM-7PM. Location: White City Community Centre, India Way, W12 7QT. Please note: all sessions are FREE to attend for children and young people (aged 8-15) who are eligible for Free School Meals (FSM) or means-tested benefits such as Universal Credit, Child Tax Credit, Income Support or Disability Allowance. Proof of eligibility will be required upon registration. Booking will not be confirmed until Urban Flyers receive and check the required documents.
Child/Young Person Details

Please complete this section if you are taking part in the workshops.
Your Name*

First NameLast Name
Your Date of Birth*

DayMonthYear
Your Gender*

MaleFemaleNon-binaryPrefer not to sayOther
Your Ethnicity*

Asian or Asian BritishBlack, Black British, Caribbean or AfricanWhite, White British, Gypsy, Irish Traveller or RomaMixed or multiple ethnicityOther
Do you live or study in the Borough of Hammersmith & Fulham? Please note, priority is given to those who fit this criteria.*

YesNo
Your Postcode*

Street Address

Street Address Line 2

CityState / Province
Please provide your school, college or sixth form name.*
Please select the type of school you attend.*

Primary SchoolSecondary SchoolHomeschoolN/A - I attend sixth-form or collegeOther
Your Year Group*
Parent/Guardian Details

Please get your parent or guardian to fill out the rest of this form.
Name*

First NameLast Name
Relationship*
Mobile Number*
Email Address*

Confirmation Email
Emergency Information

This must be different to the Parent/Guardian details above
Emergency Contact Name*

First NameLast Name
Relationship*
Mobile Number*
FSM Eligibility
Is your child eligible for free school meals (FSM)? Please note we give priority to this group and are required to check FSM eligibility by asking you to forward your most recent School Meals voucher or eligibility letter.*

YesNoN/A - my child attends homeschool, sixth-form or college
Medical Conditions, Medications and Allergies
Does your child have any medical conditions or allergies? If yes, please state below information on any medications they take including inhalers, epi pen, antibiotics, blood sugar testing etc. If not applicable, please write N/A.*
Medical Treatment
As Parent/Guardian of the child named above, I hereby authorise the diagnosis and treatment of my child by a qualified and licensed healthcare professional in the event of a medical emergency. I also give permission to Urban Flyers and its affiliates including Directors, Facilitators and other qualified Staff to provide the required emergency treatment prior to the child’s admission to hospital if applicable. I am aware I will be contacted by Urban Flyers to inform me should this happen.*

I consent
SEND Requirements
Please confirm if your child has any SEND needs. If yes, please provide further information so we understand how to best support the child/young person during the workshops. If not applicable, please write N/A.
Dietary Requirements
Please let us know if your child has any dietary requirements. PLEASE STATE ANY ALLERGIES CLEARLY. If not applicable, please write N/A.*
Photography & Video
I consent to my child being filmed and pictured during their involvement in the Tech Camp. I understand material may be used online (website/social media) by Urban Flyers and shared with our funders.*

I consent
Select Your Dates

You must select a minimum of 1 session, with an option of up to 4 individual sessions maximum. Please note: without this confirmation enrolment will not progress. Our Tech Camps are generally highly subscribed. As a result, non-attendance may impact your ability to register for future sessions with Urban Flyers.
Summer Tech Camp - White City*
Summer Tech Camp - White City
Summer Tech Camp - White City
Summer Tech Camp - White City
Summer Tech Camp - White City
Summer Tech Camp - White City
Summer Tech Camp - White City
Summer Tech Camp - White City
Please be Advised...

You will not automatically receive confirmation of your booking. Following your submission of this registration form, you must email us with your child’s Free School Meals (FSM) eligibility letter or voucher, which must be valid for either the current or the upcoming academic year. If your child is not eligible for FSM, you may provide one of the following proof of benefits: Universal Credit, Disability Living Allowance (DLA) relating to the child, Income Support or Child Tax Credits. We will then reply to your email and confirm your child’s place in the Summer Tech Camp.

Please email all documents to: info@urbanflyers.co.uk
I understand
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

Clear
Parent/Guardian
Date*

DayMonthYear
Date
Should be Empty:

Summer Tech Camp White City Registration

Child/Young Person Details

Parent/Guardian Details

FSM Eligibility

Medical Conditions, Medications and Allergies

Medical Treatment

SEND Requirements

Dietary Requirements

Photography & Video

Select Your Dates