Dewsbury schools out summer 2025

Holiday Activity Booking Form
which age group do you wish to book*

8-12 (10-2pm)12+ (3-7PM)
Which Venue would you like to book (Drop off addresses at bottom of form)*

Crownest park dewsbury
Childs name *

First NameLast Name
Childs Preferred Name

First NameLast Name
Date Of Birth*

MonthDayYear
Date
Childs Gender*

MaleFemale
I consent to (named child) being filmed and photographed for the Holiday Activity Fund promotional film. The footage or pictures may be used for evidencing the positive outcomes of the programme to the Department for Education, on Kirklees Council internal and external websites and in staff training events. Children and young people will not be named in the videos. Footage or photos may be of groups/at a distance or of young people speaking directly to the camera.*

YesNo

Holiday Activity Booking Form