Summer Holiday Fun Program
We will be offering limited free spots and payed spots of £15.00 per day. To be entitled to a free spot, you must fit the following criteria, your children must either live or go to school in Westminster and be on benefit related free school meals. Filling in this form does not guarantee you a place at the program but it highlights your interest and we will Place you on a waiting list. we will be in touch with you within 3 working days.
Childs Information
Childs Name
First Name
Last Name
Birth of Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
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5
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30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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1927
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1925
1924
1923
1922
1921
1920
Year
Gender
Male
Female
Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Details
Name of School
School type:
Primary
Secondary
Class: e.g Year 5
Borough of their school e.g Westminster
Is the child considered to be Refugee or Asylum Seeker ?
Yes
No
Parent/Guardian Information
Name
First Name
Last Name
Home Number
-
Area Code
Phone Number
Phone Number
-
Area Code
Phone Number
E-mail
example@example.com
Emergency Information
Emergency Contact's Name
First Name
Last Name
Relationship
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Babysitter/Nanny
Other
Phone Number
-
Area Code
Phone Number
Alt. Phone Number
-
Area Code
Phone Number
Does the Child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Does your child require any reasonable adjustments? If yes please specify
Does your child receive income based free school meals:
Yes
No
Does your children have any food requirements (All food provided will be Halal) ?
Dairy free and lactose free
Vegan
Vegitarian
Other
If other please let us know what special food requirements your child would require:
Please chose the dates your child will attend :
You can pick between 1-16 days, and we will be in touch to confirm the firmed spaces as they will be given on a first come first serve bases. We aim to have one trip a week and they will be added shortly.
Week 2 : Please chose the dates your child will attend :
Sunday 30th July 1
Monday 31st July
Tuesday 1st August
Wednesday 2nd August - Trip on the Floating Classroom (Boat Trip)
Week 3 : Please chose the dates your child will attend :
Sunday 6th August
Monday 7th August
Tuesday 8th August - Trip to the Science Museum, London
Wednesday 9h August
Week 4: Please chose the dates your child will attend :
Sunday 13th August
Monday 14th August
Tuesday 15th August
Wednesday 16th August
How did you hear about our Summer Program ?
Please Select
Our City Website
Al-Ola Supplementary School
Sudanese Supplementary School
Schools
Newsletter
Friend
Parent/Carer
Other
Submit Form
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