Summer Camp Detailed Registration Form

STEM Explorers

Holiday Camp Easter 2026
If your child receives benefit related Free School Meals please apply via this link. This programme is free for eligible children.
Child Information
Child's Name*

First NameLast Name
Date of Birth*

MonthDayYear
MaleFemale
What is your child's school?*
Select your Child's Year Group*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Home Number
Format: 00000000000.
Mobile Number*
Format: 00000000000.
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Their Phone Number*
Format: 00000000000.
Alt. Phone Number
Format: 00000000000.
About your child
YesNo
If yes, please explain in detail.
YesNo
YesNo
YesNoUnsure / Currently under assessment
YesNoEHCP assessment in progress
Please give details if you answer yes to any of the above.
Is there any other information that may be useful to us about your child?
Our Easter Holiday programme include Food provision. Children will be offered, snacks, drinks and lunch.
Parent/carer will provide a packed lunch and snacksParent/carer consents for the child to consume food provided by the centre
Please Select any dietary requirements*
If you select Other please specify.
Our Holiday club is a conitnuing programme. Selecting all sessions will give your child the bext experience.
Tuesday 7th April 2026Wednesday 8th April 2026Thursday 9th April 2026Tuesday 10th April 2026
Confirmation

Once we receive your completed registration, we will issue an invoice for payment. A place is only secure once the full payment is paid. Please note that all fees must be paid in advance of the class start date and are non-refundable in the event of absence. Please also note that, this experience consists of a leisure activity, on a specific date(s), and therefore the 14-day ‘cooling off period’ under the Consumer Contracts Regulations 2013 does not apply.
Date

MonthDayYear
Date
Signature
Should be Empty:

STEM Explorers

Child Information

About your child

Our Easter Holiday programme include Food provision. Children will be offered, snacks, drinks and lunch.