October Half Term - Multi Sports Holiday Camp - 9AM - 4PM - George Street Primary School

*Covid 19 Update: In line with Government guidelines we have made changes to the way we will operate our Holiday Camps. As per guidelines we are not expected to socially distance young children, although we will gently encourage it, hence keeping children in bubbles and maximising other measures such as hand washing and cleaning. This is reflected in all Xtra Time Childcare and Sports Services.

Please where possible send children in with gloves, masks and hand sanitiser, however please note this is not compulsory. When you arrive, things might look a little different in line with social distancing measures and to make sure children, parents/carers and the Xtra Time team are kept as safe as possible.

We kindly request only one Parent/Carer to pick up and drop off children to camp, a member of the Xtra Time team will sign children in and out themselves.

For more information about the changes we have made to adapt to Covid 19 please visit the policies section on the Xtra Time webpage. Please rest assured we are monitoring changes on a daily basis and will update you as and when we receive any new guidelines.
Multi Sports Holiday Camp

Opening Times: 9am - 4pm

George Street Primary

George Street, Hemel Hempstead, HP2 5HJ.

October Holiday Camp Booking Form (2024/2025)

Please complete and submit the booking form below to secure your place.
PLEASE SEND YOUR CHILD IN WITH A PACKED LUNCH, SMALL SNACKS AND SUFFICIENT WATER FOR THROUGHOUT THE DAY.
Child's Full Name:*

First NameLast Name
Child's Age:*
Please do not book your child onto Holiday Camps if they are not fully toilet trained. If a child is booked onto Holiday Camps but has a toilet accident, their parent/carer will be asked to collect them.*

I have read and understand this
Child's School:*
Medical Conditions:*
EpiPen
It has been advised by our First Aid Trainers that we should administer a second dose of EpiPen 5-15 minutes after the first dose if the child does not feel better. It also allows critical time for the ambulance crew to get to the session. If your child requires an EpiPen, your child must have TWO EpiPen's with them at all times. By ticking this box you are confirming that you will send your child in with two EpiPen's. Failure to do so will result in Xtra Time sending your child to the school office. Your child will not be able attend the session until they have two EpiPens. This is to safeguard your child and Xtra Time Kidz Club Staff.
EpiPen Disclaimer:*

I confirm that I have read and understand the above.
Does Your Child Have Any SEN:*
Does your child have any SEN (Special Educational Needs)?
Details of Medical Condition(s) / SEN:*
Please provide details of any medical conditions.and/or Special Additional Needs. For example:Asthma and/or ASD etc
Parent's Name:*

First NameLast Name
Collected By:*
Name of person collecting your child
Relationship To Child:*
What is their relationship to your child
Security Password:*
Chose a security password of your choice that'll be used if somebody else collects your child
Emergency Contact 1:*
Mobile number
Emergency Contact 2:*
Parent's E-mail:*
example@example.com
Full Address:*

Street Address

Street Address Line 2

TownCounty

Postcode
Disclaimer: Inflatables that we provide on Fridays are not inflatables which can be climbed or jumped on. The inflatables can only be used outdoors and weather permitting i.e if it is not heavy rain or strong wind. The inflatbles that will be available to use are the inflatable dartboard, basketball challenge and penalty shoot out challenge. Please click here for visuals of the 3 inflatables that will be available on Fridays.
The costs for the sessions are as follows:

1 Day: £20.00

2 Days: £40.00

3 Days: £60.00

4 Days: £80.00

5 Days: £100.00

Late booking fee: Great News - There is no late booking fee for this Holiday Camp.
October Holiday Camps Dates 2024/2025
Week 1 - W/C - Monday 28th October 2024
Week 1 Days To Attend:

MondayTuesdayWednesdayThursdayFriday
Week 1 Total £:
Late booking fee

Applied £5.00
Late Booking Fee £
Late booking fee applied after deadline
Grand Total:
Payment Method:*

Bank Transfer - Please make a bank transfer into bank account belowChild care vouchers (please select your provider below)
Childcare Provider:*

CO-OP - 85116843EDEN RED - P20733006KIDDIVOUCHERS - 100418CARE4 - 18475662BUSYBEES - XTRA TIME KIDZ CLUB - HolywellCOMPUTERSHARE - 0020197568RG CHILDCARE - 97926708410FIDELITI - XTR001CFAIRCARE - XTHO0218TAX FREE CHILDCARE SCHEME - EY444153ENJOY BENEFITS - WD18 9QDSODEXO - 850954OTHER - Please provide details in additional comments box below
*Please note: We no longer accept online payments through our website. Bank details have been provided below to secure your child's place.

Please make your booking payment in full to the account below:

Xtra Time Sports Services or 1st Touch Sports Coaching
Sort Code 09 01 29
Account Number 33376844

It is solely the parent/carers responsibilty to make the booking payment in full. If your child's payment has not been made in full to the account specified above, we cannot secure your child's booking. Once you have made your payment in full, please include your payment reference and payment date below. When making a payment, please use the following reference: XTHolidayCamp - Child's Name.

ALL PAYMENTS MUST ONLY BE PAID INTO THE ACCOUNTS LISTED ABOVE AS EACH XTRA TIME SERVICE HAS ITS OWN SPECIFIED ACCOUNT. THIS HELPS US TO ALLOCATE YOUR PAYMENT. IF YOU'RE PAYING BY CHILDCARE VOUCHERS AND YOUR PROVIDER IS NOT LISTED ABOVE PLEASE CONTACT US.
Payment Reference:*
Payment Date:*

DayMonthYear
Date
Please Note: You do not get an email confirmation for your payment. If there are any issues allocating your payment a member of our Finance Team will be in touch.
ALL CHILDCARE VOUCHER PAYMENTS MUST ONLY BE PAID INTO THE ACCOUNTS LISTED ABOVE. IF YOUR PROVIDER IS NOT LISTED ABOVE PLEASE CONTACT US. CHILDCARE VOUCHER PAYMENTS MUST BE PAID IN FULL ON THE DATE YOUR BOOKING FORM IS SUBMITTED. THE EXACT PAYMENT AMOUNT ON YOUR BOOKING FORM MUST BE MADE IN FULL, USING THE REFERENCE ABOVE. IF THIS PROCESS IS NOT FOLLOWED YOU WILL NOT HAVE SECURED YOUR CHILD'S BOOKING, AND YOUR CHILD WILL NOT BE ABLE TO ATTEND THE CLUB.

When making a voucher payment using your childcare provider, please use the following reference: XTHolidayCamp - Child's Name
Please attach a screenshot of your payment below.*

If you are unable to attach a screenshot of your payment, please write the details of your payment on a piece of paper stating the reference, date and amount paid. Providing this enables our finance team to easily find your payment and avoid the need to contact you. Please do not contact us to confirm if your payment has been made. We will contact you if there are any issues with your payment. Your submission of this form and confirmation email is confirmation of your booking.
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Additional Comments:
Any additional information that will help us understand your child's needs better
Do you give consent to Xtra Time Kidz Club to take pictures of your child which will ONLY be used for marketing purposes (Social media platforms, www.xtratime.co.uk, flyers and other advertising purposes).
Consent to take photos:*

YesNo
Do you follow us on social media*

YesNo
Thank you for following us on social media.
Please Like, Share and Subscribe to our social media platforms by clicking on to the images below.
How Did You Hear About Us?*

Email / Text / WhatsAppHoliday Camp FlyerMy Child's SchoolFamily / FriendsSearch EngineSocial MediaOther
Other: How Did You Hear About Us?*
Community Give Back.

If you are in need of further support, please fill out our enquiry form here and a member of our team will be in contact with you to see how we can assist. All throughout the year, Xtra Time strives to help as many families in the local community as possible, and in particular we have a big push for the Christmas period. In the past we have helped over 300 families by providing food, amenities and toiletries and every year, we want to be able to provide even further support.
Did you know we do Birthday Parties?

Is your child's birthday within the next 3 months? We are offering an exclusive £25 off Birthday Party Bookings to all existing customers. Visit our Birthday Party Form by clicking here and a member of our team will be in touch with you.
Did you know we do Private One-to-One / Group Tuition?

Would you be interested in a variety of Private One-to-One / Group Tuition for you or your child? Focusing on upskilling, mental health, well being, weight loss, confidence and more. Visit our Private 1-to-1 / Group Tuition Booking Form by clicking here and a member of our team will be in touch with you.
If your child is booked on to the Multi Sports Camp (9am-4pm) they CANNOT switch over to the Multi Activity / Arts & Crafts Camp (8am-6pm). If you wish for your child to attend the Multi Activity / Arts & Crafts Camp, please book via our website.*

I have read and understood the above.
*We trust you have made the payment before clicking the submit button or shortly after and in to the correct account details provided above. Please note any other bank details you may have are (for example, 8am-6pm bank details) are for other Xtra Time services only.**

I have read and understood the above.
Please sign here before clicking the 'Submit' button below: *

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*Please Note: Holiday Camps are organised based on child ratios, for this reason we do not offer refunds for bookings that have been submitted. To avoid incurring losses please only submit your booking once you are certain of the dates you require, if you are uncertain of dates you require Xtra Time would really appreciate it if you book on weekly instead. Thank you!
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Date

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Date
Should be Empty:

EpiPen

October Holiday Camps Dates 2024/2025

Week 1 - W/C - Monday 28th October 2024