Chalmers Church Holiday Club Sign Up
Please complete all sections below.
Child Name
*
First Name
Last Name
School year
*
Please Select
P1
P2
P3
P4
P5
P6
P7
Wish to sign up more children?
2nd Child's Full Name
First Name
Last Name
2nd Child's School year
Please Select
P1
P2
P3
P4
P5
P6
P7
3rd Child's Full Name
First Name
Last Name
3rd Child's School year
Please Select
P1
P2
P3
P4
P5
P6
P7
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Attendance
Which days will your child/children be attending the Holiday Club?
*
Wednesday 15th April
Thursday 16th April
Friday 17th April
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Heplful Information about your child
If your child is known by another name/nickname please let us know
Any dietary/food allergies requirements we should be aware of?
Are there any medical needs we should be aware of? (Eg asthma, plaster allergies, medication etc)
Any additional support needs? We would love to support and care for your child as best as we can so please give us as much information that you feel comfortable in sharing (any helpful coping mechanisms or strategies)
We are aware English is not everyone's primary language. If we were to produce some printed resources in another language what would be helpful to your child/children?
Details for Child 2
If your child is known by another name/nickname please let us know
Any dietary/food allergies requirements we should be aware of?
Any additional support needs? We would love to support and care for your child as best as we can so please give us as much information that you feel comfortable in sharing (any helpful coping mechanisms or strategies)
We are aware English is not everyone's primary language. If we were to produce some printed resources in another language what would be helpful to your child/children?
Details for Child 3
If your child is known by another name/nickname please let us know
Any dietary/food allergies requirements we should be aware of?
Any additional support needs? We would love to support and care for your child as best as we can so please give us as much information that you feel comfortable in sharing (any helpful coping mechanisms or strategies)
We are aware English is not everyone's primary language. If we were to produce some printed resources in another language what would be helpful to your child/children?
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Contact Information
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Contact Phone Number
*
We assume that parents will arrange to collect your child/children from the club but if this is not possible please let us know what the arrangement will be in writing below
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