Spread a Smile's February Half Term Virtual Sessions
Please use this form to sign up for any sessions your children wish to attend. This is for patients and siblings.
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Phone Number
*
Please type in the following format: +447123456789
Address - this will be used if any items need to be sent in the post to take part in the sessions you select. Please check these details carefully as they will be used for delivery (do not use autofill)
*
Address
Address Line 2
City
County
Postcode
Child's First Name
*
Child's Date of Birth
*
-
Day
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Month
Year
Date
Which hospital does your child receive majority of treatment from?
*
Please Select
Barnet Hospital
Chelsea and Westminster Hospital
Great Ormond Street Hospital (GOSH)
The Evelina Children’s Hospital
King’s College Hospital
Newham Hospital
Noah’s Ark Children’s Hospice
North Middlesex University Hospital
Northwick Park Hospital
Princess Alexandra Hospital
The Royal Brompton Hospital
The Royal London Hospital
The Royal National Orthopaedic Hospital
St George’s Hospital
St Mary’s Hospital
The Royal Marsden Hospital
University College Hospital (UCLH)
Watford General Hospital
The Whittington Hospital
Southampton Children’s Hospital
Demelza Hospice
Leicester Children’s Hospital
Nottingham Children’s Hospital
Bristol Royal Hospital for Children
Addenbrookes Children’s Hospital, Cambridge
Christie Hospital, Manchester
Wrexham Maelor Hospital
Other
If selected other please specify
Please tell us any siblings that may be joining - Please tell us their names and ages
Monday 12th February, 11am - Story Writing Workshop - Ages 6-10 (all ages are welcome)
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Attending
Not Attending
Monday 12th February, 4pm - Art, guess the drawing game - Ages 5-12 (all ages are welcome)
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Attending
Not Attending
Monday 12th February, 5pm - Calligraphy - Ages 8+
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Attending
Not Attending
Tuesday 13th February, 11am - Fairy Fun - Ages 3-10 (all ages welcome)
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Attending
Not Attending
Tuesday 13th February, 4pm - Acting Workshop - All Ages
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Attending
Not Attending
Tuesday 13th February, 5pm - Magic with Makaton - All Ages
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Attending
Not Attending
Wednesday 14th February, 11am - Storytelling - Ages 3-10 (all ages welcome)
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Attending
Not Attending
Wednesday 14th February, 4pm - Valentines Singing- All ages
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Attending
Not Attending
Wednesday 14th February, 5pm - Valentines Song Writing Workshop - Ages 11+
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Attending
Not Attending
Thursday 15th February, 11am - Calligraphy - Ages 8+
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Attending
Not Attending
Thursday 15th February, 4pm - Marvelous Magic - All Ages
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Attending
Not Attending
Thursday 15th February, 5pm - Valentines Theme Quiz - Ages 8+
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Attending
Not Attending
Friday 16th February, 11am -LEGO Play Workshop - All Ages
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Attending
Not Attending
Friday 16th February, 4pm -Tiktok Dance Workshop - All Ages
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Attending
Not Attending
Friday 16th February, 5pm - Yoga - Ages 10+
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Attending
Not Attending
Any additional comments. Please tell us if there is anything you'd like us to know.
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