Thrive Holiday Club Christmas

Thrive Holiday Club Booking Form

Invictus Wellbeing
*PLEASE READ* This is not a guarantee of your place, we prioritise children accessing Free School Meals.

However, we do have places available for other children and/or we ask for a small donation of £2.50 per day.

Please choose all venues you would be able to attend and we will make you a place offer dependent on places left.
Please book your places at THRIVE below:*

Medical and Sensitive Information
Are there any physical health conditions that we need to be aware of?*
Are there any allergies we need to be aware of? If yes, how serious is it?*
Are you currently taking any medication that we need to be aware of? including Asthma Inhalers & Epi-Pens*
Is there anything we need to know so we can support your child?*
Do you have any joint problems (Including neck, back & hip) that could be made worse by exercise, including jumping and landing?*

YesNo
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*

YesNo
Do you suffer from shortness of breath at any time or a respiratory condition that would prevent you from doing physical activity?*

YesNo
Do you ever feel faint or have spells of dizziness?*

YesNo
Are there any reasonable adjustments we need to make?

Consent - To be completed by parent/guardian
General Consent*

I confirm that I consent to my son/daughter taking part in Thrive Holiday Club for the dates specified above.
Correct Medical and Sensitive Information*

I confirm that I have disclosed all relevant medical and sensitive information and am content that Invictus Wellbeing and delivery partners have access to this information.
Further Contact*

I agree to be contacted further (future projects, newsletters etc).I don't agree to be contracted further
Media Consent*

I agree to photographs and film footage containing my son/daughter to be used in marketing/social media.I do not agree to photographs and film footage containing my son/daughter to be used in marketing/social media.
Print Name*

First NameLast Name
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