Half-Term Registration Form

Half-Term Registration Form

Please fill out ALL the fields to complete registration for half-term activities
Participants Full Legal Name*

First Name(Middle Name)Last Name
Participants Date Of Birth*

DayMonthYear
Participants Age*
Gender*
Address*

Hotel name or house/flat number

Street Address

CityPostcode

Borough
Ethnicity*

Asian/Asian BritishBlack/Black British/CaribbeanWhite BritishWhite OtherArabOther Ethnic Group
Country of origin *
What country are yfrom?
Parent/Guardian Email*
All updates are sent via EMAIL
Parent/Guardian Phone Number*
Please enter a valid phone number.
Participants School Name*
Please write the FULL NAME of the school
Participants School Type*
Primary or Secondary school
Participants School Borough *
The borough NOT area which the school is in
Please select below the dates you are interested in*

Monday 22nd DecemberTuesday 23rd DecemberMonday 29th DecemberTuesday 30th December
What size top is the participant?*

7-8 years9-11 years12-14 yearsSmallMediumLarge
Does your child receive FSM (free school meals) ?*
Is your child an asylum seeker or refugee*

YesNo
Does the participant have any medical condition and/or dietary requirements?*
Do you give us permission for photography of participant?*

YesNo
Photography and Videography Policy for Hurdles2Hoops
Parent/Guardian Signature*

Clear
Print name (parent/guardian)*
Parent or guardian to type full legal name here
We will be sharing a limited amount of data with Kensington & Chelsea and Westminster City Council as part of the monitoring requirements for this programme. This information will include your child’s date of birth, school and full name. This information will be matched with school census information to monitor eligibility and reach of the Holiday and Activity Fund Programme. If you have any questions about this please Click here for more information
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