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Summer Half term club 2025
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14
Questions
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1
How many children would you like to sign up?
*
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2
Multiplier
*
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3
Child's Name
*
This field is required.
First Name
Last Name
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4
What Study Right branch does {childsName} attend?
*
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Tottenham
Walthamstow
External
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5
Does your {childsName} have any medical conditions, allergies, or dietary requirements?
*
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YES
NO
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6
Please specify any medical conditions, allergies, or dietary requirements?
*
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7
Does your {childsName} have any SEND (Special Educational Needs or Disabilities)?
*
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YES
NO
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8
Please specify any SEND (Special Educational Needs or Disabilities)?
*
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9
Is {childsName} taking any medication that needs to be administered during the club?
*
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YES
NO
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10
Please specify any medication that needs to be administered during the club?
*
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11
Child 2 Name
*
This field is required.
First Name
Last Name
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12
Does your {child232} have any medical conditions, allergies, or dietary requirements?
*
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YES
NO
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13
Please specify any medical conditions, allergies, or dietary requirements?
*
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14
Does your {child232} have any SEND (Special Educational Needs or Disabilities)?
*
This field is required.
YES
NO
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15
Please specify any SEND (Special Educational Needs or Disabilities)?
*
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16
Is {child232} taking any medication that needs to be administered during the club?
*
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YES
NO
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17
Please specify any medication that needs to be administered during the club?
*
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18
Child 3 Name
*
This field is required.
First Name
Last Name
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19
Does your {child3} have any medical conditions, allergies, or dietary requirements?
*
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YES
NO
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20
Please specify any medical conditions, allergies, or dietary requirements?
*
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21
Does your {child3} have any SEND (Special Educational Needs or Disabilities)?
*
This field is required.
YES
NO
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Submit
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22
Please specify any SEND (Special Educational Needs or Disabilities)?
*
This field is required.
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23
Is {child3} taking any medication that needs to be administered during the club?
*
This field is required.
YES
NO
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Submit
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24
Please specify any medication that needs to be administered during the club?
*
This field is required.
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25
Parent Name
*
This field is required.
First Name
Last Name
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26
Phone Number
*
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Please enter a valid phone number.
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27
Email
*
This field is required.
example@example.com
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28
How would you like to book your {childsName} for the Holiday Club?
*
This field is required.
Full Week
Daily Booking
Both
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29
Which week(s) would you like to book?
*
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Week 1
Week 2
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30
Please select the days you would like {childsName} to attend
*
This field is required.
Week 1 - Monday
Week 1 - Tuesday
Week 1 - Wednesday
Week 1 - Thursday
Week 1 - Friday
Week 2 - Monday
Week 2 - Tuesday
Week 2 - Wednesday
Week 2 - Thursday
Week 2 - Friday
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31
I give permission for my child/children to go on trips during the club
*
This field is required.
YES
NO
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32
I give permission for emergency medical treatment to be given if necessary
*
This field is required.
YES
NO
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33
I give permission for photos/videos of my child/children to be taken for promotional/record-keeping purposes
*
This field is required.
YES
NO
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34
Price
*
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35
Total Price
*
This field is required.
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Description
GBP
+ OR enter a custom value
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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