New Year 7 Summer Activity Week
Monday 5th August – Thursday 8th August 2024
I confirm I would like my child to attend the New Year 7 Summer School (every day)
*
YES
NO
Child's Full Name
*
Date of Birth
*
-
Day
-
Month
Year
Date
Name of First Emergency Contact
*
Telephone Number of First Emergency Contact
*
Email Address of First Emergency Contact
*
Name of Second Emergency Contact
*
Telephone Number of Second Emergency Contact
*
Name of Third Emergency Contact
*
Telephone Number of Third Emergency Contact
*
Child's Address
*
Details of any Medical Conditions and Medication Taken:
If your child has no medical conditions, please state NONE.
Details of any Allergies
If your child has no allergies, please state NONE.
Details of any SEND Needs
If your child has no SEND needs, please state NONE.
Any other comments
Name of Parent/Carer who has completed the form
*
Relationship to child
*
Signature
*
Submit
Should be Empty: