Try High Holiday Club

Try High Holiday Club Booking Form

Winter 2025
*PLEASE READ*

We expect your child to attend each of the 2 days (of course there are exceptions but please let us know in advance). This is not a guarantee of your place, we prioritise children accessing Free School Meals. However we do have places available for free for other children and/or we may ask for a small donation of £10 for the week.
Please book here*
- First Name*
- Last Name*
- Is your child accessing benefits related free school meals?*
  
  YesNoUnsure
- School*
- School?
- Does your child have a Disability?*
- Is your child on the SEN Register?*
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityArea
  
  Postcode
- Ethnicity*
- Gender *
- Child's DOB*
  
  DayMonthYear
  Date
- Parent / Guardian Name*
  Full Name
- Parent/ Guardian Phone Number*
- Is English the child's first language?*
- Please indicate any additional support needs?
- Does your child have any physical health conditions that we need to be aware of?*
- Does your child have any dietary requirement or allergies we need to be aware of? If yes, how serious is it?*
- Is your child currently taking any medication that we need to be aware of? including Asthma Inhalers & Epi-Pens*
- Is there anything we need to know so we can support your child?*
- Does your child have any joint problems (Including neck, back & hip) that could be made worse by exercise, including jumping and landing?*
  
  YesNo
- Has your child's doctor ever said that they have a heart condition and that they should only do physical activity recommended by a doctor?*
  
  YesNo
- Does your child suffer from shortness of breath at any time or a respiratory condition that would prevent them from doing physical activity?*
  
  YesNo
- Does your child ever feel faint or have spells of dizziness?*
  
  YesNo
- Are there any reasonable adjustments we need to make?
- Emergency Contact #1
- Full Name:*
  
  First NameLast Name
- Relationship to Young Person:*
- Preferred Telephone*
- Second Telephone
- E-mail:*
- Emergency Contact #2
- Full Name:*
  
  First NameLast Name
- Relationship to Young Person:*
- Preferred Telephone*
- Second Telephone
- E-mail:
- General Consent*
  
  I confirm that I consent to my son/daughter taking part in Try High Holiday Club for the dates specified above.
- Correct Medical and Sensitive Information*
  
  I confirm that I have disclosed all relevant medical and sensitive information and am content that Invictus Wellbeing and delivery partners have access to this information.
- Further Contact*
  
  I agree to be contacted further (future projects, newsletters etc).I don't agree to be contracted further.
- Media Consent*
  
  I agree to photographs and film footage containing my son/daughter to be used in marketing/social media.I do not agree to photographs and film footage containing my son/daughter to be used in marketing/social media.
- Print Name*
  
  First NameLast Name
- Should be Empty:

Try High Holiday Club Booking Form

*PLEASE READ*

Emergency Contact #1

Emergency Contact #2

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