Riverschool Summer 24 Booking Form excl payment

River School Holiday Club

October 2024
Please select the River School dates you are booking

Monday 28th OctoberTuesday 29th OctoberWednesday 30th October
Parent name

First NameLast Name
Mobile Number
This will be assumed as the emergency contact number. If other, please provide in comments box.
Email
Number of children who would like a place
Name of child

First NameLast Name
Age of child
School
Any special dietary requirements
Vegan, vegetarian, gluten-free etc
Medical conditions and allergies
Please give details of any physical or mental medical conditions that we should be aware of.
Can your child swim? Are they comfortable in the water?
This is not a requirement but is useful to know! All children will wear a buoyancy aid for any water-based activities.
Name of first child

First NameLast Name
Age of first child
Child 1 - School
Child 1 - Special dietary requirements
Vegan, vegetarian, gluten-free etc
Child 1 - Medical conditions and allergies
Please give details of any physical or mental medical conditions that we should be aware of.
Child 1 - Can your child swim? Are they comfortable in the water?
This is not a requirement but is useful to know! All children will wear a buoyancy aid for any water-based activities.
Name of second child

First NameLast Name
Age of second child
Child 2 - School
Child 2 - Special dietary requirements
Vegan, vegetarian, gluten-free etc
Child 2 - Medical conditions and allergies
Please give details of any physical or mental medical conditions that we should be aware of.
Child 2 - Can your child swim? Are they comfortable in the water?
This is not a requirement but is useful to know! All children will wear a buoyancy aid for any water-based activities.
Name of third child

First NameLast Name
Age of third child
Child 3 - School
Child 3 - Special dietary requirements
Vegan, vegetarian, gluten-free etc
Child 3 - Medical conditions and allergies
Please give details of any physical or mental medical conditions that we should be aware of.
Child 3 - Can your child swim? Are they comfortable in the water?
This is not a requirement but is useful to know! All children will wear a buoyancy aid for any water-based activities.
Name of fourth child

First NameLast Name
Age of fourth child
Child 4 - School
Child 4 - Special dietary requirements
Vegan, vegetarian, gluten-free etc
Child 4 - Medical conditions and allergies
Please give details of any physical or mental medical conditions that we should be aware of.
Child 4 - Can your child swim? Are they comfortable in the water?
This is not a requirement but is useful to know! All children will wear a buoyancy aid for any water-based activities.
Are you in receipt of Universal Credit or eligible for free school meals?

YesNo
How did you hear about River School Holiday Club?

Friends or familyThrough child's schoolWeb searchFacebook/Instagram postFacebook/instagram adLeafletOther
Are you happy for us to use photos taken during River School to be used for publicity?

YesNo
Any other comments/questions
Payment details:

A full day of River School, including all activities, is £45 per child per day.

*£40 per days if booking sibblings or more than one day

*£40 per child for those on Universal Credit or eligible for Free School Meals

*£100 per child if booking three consecutive days

You will receive a payment request once we have checked and confirmed your booking.

Thank You
Postcode
Should be Empty:

River School Holiday Club