Try High Holiday Club Booking Form
Summer 2025
*PLEASE READ*
We expect your child to attend each of the 4 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
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Child's Details
First Name
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Last Name
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Is your child accessing benefits related free school meals?
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Yes
No
Unsure
School
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School?
Please Select
Abbey Park Academy
All Saints' CE (VA) J & I School
Ash Green Community Primary School
Bailiffe Bridge J & I School
Barkisland CE (VA) Primary School
Beacon Light Schools
Beech Hill School
Beech Hill School
Bolton Brow Primary Academy
Bowling Green Academy
Bradshaw Primary School
Brighouse High School
Broadwood School
Burnley Road Academy
Calder Learning Trust (Primary phase)
Calder Learning Trust (Secondary phase)
Carr Green Primary School
Castle Hill Primary School
Central Street Infant & Nursery School
Christ Church (Pellon) CE (VC) Primary School
Christ Church CE (VA) Junior School (Sowerby Bridge)
Cliffe Hill Community Primary School
Colden J & I School
Copley Primary School
Cornholme J, I & N School
Cross Lane Primary and Nursery School
Dean Field Community Primary School
Elland CE (VA) J, I & N School
Ferney Lee Primary School
Hebden Royd CE (VA) Primary School
Heptonstall J, I & N School
Highbury School
Holy Trinity Primary School, a Church of England Academy
Holywell Green Primary School
Home Education
Lee Mount Primary School
Lightcliffe Academy
Lightcliffe CE Primary School
Ling Bob J, I & N School
Longroyde Primary School
Luddenden CE School
Luddendenfoot Academy
Midgley School
Moorside Community Primary School
Mount Pellon Primary Academy
New Road Primary School
None Stated
Norland CE (VC) J & I School
Northowram Primary School
Old Earth School
Old Town Primary School
Park Lane Academy
Parkinson Lane Community Primary School
Rastrick High School
Ravenscliffe High School and Sports College
Refugees & Asylum Seekers
Ripponden J & I School
Riverside Junior School
Ryburn Valley High School
Sacred Heart Catholic Primary School (Sowerby Bridge)
Salterhebble J & I School
Salterlee Primary School
Savile Park Primary School
Scout Road Academy
Shade Primary School
Shelf J & I School
Siddal Primary (Brighter Futures Academy Trust)
St Andrew's CE (VA) Infant School (Brighouse)
St Andrew's CE (VA) Junior School (Brighouse)
St Augustine's CE (VA) J & I School (Halifax)
St John's (CE) Primary Academy, Clifton
St John's CE Primary School (Rishworth)
St Joseph's Catholic Primary Academy (Brighouse)
St Josephs Catholic Primary Academy (Halifax)
St Joseph's Roman Catholic Voluntary Academy (Todmorden)
St Malachy s Catholic Primary School
St Mary's Catholic Primary Academy (Halifax)
St Mary's CE (VC) J & I School (Sowerby Bridge)
St Michael & All Angels CE Primary School
St Patrick's Catholic Primary Academy (Elland)
St Patricks Catholic Primary Academy (Elland)
Stubbings Infant School
The Brooksbank School Sports College
The Crossley Heath School
The Greetland Academy
The Halifax Academy (Primary phase)
The Halifax Academy (Secondary phase)
The North Halifax Grammar School
The Whitely Alternative Provision Academy
The Whitley AP Academy
The Whitley AP Academy
Todmorden CE (VA) J, 1 & N School
Todmorden High School, Specialist Visual Arts College
Triangle CE (VC) Primary School
Trinity Academy Akroydon
Trinity Academy Halifax
Trinity Academy Sowerby Bridge
Trinity Academy St Chad's
Trinity Academy St Peter's
Trinity Sixth Form Academy
Todmorden High School, Specialist Visual Arts College
Triangle CE (VC) Primary School
Trinity Academy Akroydon
Trinity Academy Halifax
Trinity Academy Sowerby Bridge
Trinity Academy St Chad's
Trinity Academy St Peter's
Trinity Sixth Form Academy
Tuel Lane Infant School
Wainstalls School
Walsden St Peter's CE (VC) Primary School
Warley Road Primary Academy
Warley Town School
West Vale Academy
Whitehill Community Academy
Withinfields Primary School
Wood Bank School
Woodhouse Primary School
Does your child have a Disability?
*
Please Select
Not Applicable
Hearing (Deaf, Partially Deaf, Hard of Hearing)
Learning Difficulty (e.g. Dyspraxia, Dyslexia, Dyscalculia, ADHD)
Learning Disability (e.g. Down's Syndrome, Asperger's Syndrome, MLD, SLD)
Mental Health Condition (e.g. Anxiety, Depression, Schizophrenia, Dementia)
Physical - Ambulant (I do not use a wheelchair)
Sight (Blind or Partially Sighted)
Other
Prefer Not To Say
Yes
No
Is your child on the SEN Register?
*
Please Select
Yes
No
Unsure
Address
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Street Address
Street Address Line 2
City
Area
Postcode
Ethnicity
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Prefer not to say
Asian/ Asian British - Indian
Asian/ Asian British - Pakistani
Asian/Asian British - Chinese
Asian/Asian British - Bangladeshi
Asian/ Asian British - Other
Black/African/Caribbean/Black British - African
Black/ African/Caribbean/Black British - Caribbean
Black/African/Caribbean/Black British - Other
Mixed/ multiple ethnic groups - White and Asian
Mixed/multiple ethnic groups - White and Black African
Mixed/multiple ethnic groups - White and Black Caribbean
Mixed/ multiple ethnic groups - Other
White - Welsh/English/Scottish/Northern Irish/British
White - Irish
White - Gypsy, Roma or Irish Traveller
White - Eastern European
White - Other
Other ethnic group - Arab
Any other ethnic group
Any other ethnic group
Gender
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Child's DOB
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/
Day
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Month
Year
Date
Parent / Guardian Name
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Full Name
Parent/ Guardian Phone Number
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Is English the child's first language?
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Please indicate any additional support needs?
Medical and Sensitive Information
Does your child have any physical health conditions that we need to be aware of?
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Does your child have any dietary requirement or allergies we need to be aware of? If yes, how serious is it?
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Is your child currently taking any medication that we need to be aware of? including Asthma Inhalers & Epi-Pens
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Is there anything we need to know so we can support your child?
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Does your child have any joint problems (Including neck, back & hip) that could be made worse by exercise, including jumping and landing?
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Yes
No
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?
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Yes
No
Does your child suffer from shortness of breath at any time or a respiratory condition that would prevent them from doing physical activity?
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Yes
No
Does your child ever feel faint or have spells of dizziness?
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Yes
No
Are there any reasonable adjustments we need to make?
Emergency Contact Details - Parent/Guardian
Emergency Contact #1
Full Name:
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First Name
Last Name
Relationship to Young Person:
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Preferred Telephone
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Second Telephone
E-mail:
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Emergency Contact #2
Full Name:
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First Name
Last Name
Relationship to Young Person:
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Preferred Telephone
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Second Telephone
E-mail:
Consent - To be completed by parent/guardian
General Consent
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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
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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
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I agree to be contacted further (future projects, newsletters etc).
I don't agree to be contracted further.
Media Consent
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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
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First Name
Last Name
Submit Form
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