Summer Holiday Project
For age 6-11 (school year 2-6) children on benefit related free school meals (pupil premium) Mon 5th - Fri 9th August 2024: 10am - 3.30pm daily.
Name of child
*
First Name
Last Name
Child's Date of birth
*
-
Month
-
Day
Year
Date
What school year are they in?
*
Year 2
Year 3
Year 4
Year 5
Year 6
Name of parent / carer
*
First Name
Last Name
Email address of parent / carer
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
*
Email
*
example@example.com
Child's ethnicity
*
Arab
Asian / Asian British
Black / Black British
White
Mixed ethnic background
Prefer not to say
Other- please specify:
Child's school (if applicable)
*
Emergency Contact Name
*
First Name
Last Name
Emergency contact phone number
*
Emergency contact relationship to child
*
Does your child have any medical or mobility issues? If yes please give details here
*
We will be providing lunch for the children. Please let us know if your child has any dietary requirements or allergies. I.e. Halal food only, vegetarian food only, vegan, allergic to anything specific?
*
Where did you hear about this project?
*
Flyer
Social Media
Word of Mouth
On Grand Junction Website or Newsletter
Whatsapp group
Are you happy for us to photograph and film your child during this project?
*
Yes
No
Would you like to be added to our mailing list so we can email you with other exciting projects and events at Grand Junction?
*
Yes
No
Are you in receipt of benefits and does your child get pupil premium at school? Please note children on pupil premium will get priority booking for this project.
*
Yes
No
Signature of parent / carer
*
Submit
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