Half-Term Registration Form

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

Ethnicity

Country of origin

What country are you from?

Parent/Guardian Email

All updates are sent via EMAIL

Parent/Guardian Phone Number

Please enter a valid phone number.Format: 0000-0000-000.

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

What size top is the participant?

Does your child receive FSM (free school meals) ?

Is your child an asylum seeker or refugee

Does the participant have any medical condition and/or dietary requirements?

Do you give us permission for photography of participant?

Photography and Videography Policy for Hurdles2Hoops

Parent/Guardian Signature

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