Clone of HE26ACC BOOKING FORMS

WELCOME TO BUBBLES & SMILES HAF SUMMER 2026 (AGES 5 TO 16) BOOKING FORM
HACKNEY @ BERGER PRIMARY SCHOOL, ANDERSON ROAD, E9 6HB
DATES: 21ST, 22ND, 23RD, 24TH DECEMBER 2026
TIME STARTS: 11.00AM, TIME ENDS: 3:00PM.

Dear Parent / Carer,

HAF (Holiday, Activities & Food Programme) is a Department of Education (DfE) initiative to provide a variety of fun Multisports, Games, enriching Activities and Food provision for children ages 5 to 16 during Easter, Summer and Christmas Holidays.

Our aim is to support development of character, wellbeing, resilience, be active, safe, not to isolate and attain great knowledge of Health and Food Nutrition.

Bubbles & Smiles is privileged to be a HAF programme provider in Hackney.
_____________________________________________________________________________________________________________________

Eligibility:

1) Child/ren aged 5 to 16 who are entitled or in receipt of benefit related free school meals. *FSM entry is free, includes lunch and healthy snacks.

2) Child/ren aged 5 to 16 who are not in receipt of benefit related free school meals. *NFSM entry is £15 per child per day and to include lunch and healthy snacks, will charge an additional £6 per child per day, otherwise please provide own packed lunch. **NFSM entry payment/s are not refundable because staffing levels are arranged in advance.

_________________________________________________________________________________________________

Work experience:

Young People in Year 9, 10 & 11 who are interested in work experience as an AMBASSADOR, (offer support and help to the leadership staff team) is welcomed and strongly encouraged to apply. *AMBASSADOR entry is free, includes lunch and healthy snacks. **To apply, kindly click here 'HAF AMBASSADOR'.
_________________________________________________________________________________________________

*To book now, kindly scroll down to 'Child 1', fill this booking form and submit.*

To share / invite family / friends, you can send either website links https://bit.ly/3WkPMjq or 'www.bubblesandsmiles.uk' / scan 'QR CODE' below or to receive a booking link directly to your phone, text 'HW26 & YOUR NAME' to '07572200628 alternatively you may call.

_________________________________________________________________________________________________

Child 1

Is Child 1 in receipt of benefit related free school meals?

Child 1: Name

First NameLast Name

Child 1: Date of Birth

Day/Month/Year

Child 1: School Name

Child 1: School Year

Child 1: Proof of Free School Meals Letter

Child 2

Child 2: Is there a second Child?

Child 2: Is Child 2 in receipt of benefit related free school meals?

Child 2: Name

First NameLast Name

Child 2: Date of Birth

Day/Month/Year

Child 2: School Name

Child 2: School Year

Child 2: Proof of Free School Meals Letter

Child 3

Child 3: Is there a third Child?

Child 3: Is Child 3 in receipt of benefit related free school meals?

Child 3: Name

First NameLast Name

Child 3: Date of Birth

Day/Month/Year

Child 3: School Name

Child 3: School Year

Child 3: Proof of Free School Meals Letter

Dates attending:

Child/ren Health

Does your Child/ren have any Allergies, Chronic Illness, Medical Conditions or SEND (Special Educational Needs & Disabilities) ?

Allergies / Chronic Illness / Medical Conditions? IF IT IS MORE THAN ONE CHILD, PLEASE INSERT NAME OF EACH CHILD AND DESCRIBE

Prescribed Medication / Inhaler? IF IT IS MORE THAN ONE CHILD, PLEASE INSERT NAME OF EACH CHILD AND EXPLAIN INSTRUCTIONS

SEND (Special Educational Needs & Disabilities) & is one-to-one care required? IF IT IS MORE THAN ONE CHILD, PLEASE INSERT NAME OF EACH CHILD AND SPECIFY

Any support / adjustments that would help settle / enjoy? IF IT IS MORE THAN ONE CHILD, PLEASE INSERT NAME OF EACH CHILD AND SUGGEST

Consent:

Child/ren to appear on camp promotionals / electronic publications / event updates?

Child/ren to administer First Aid, in an emergency by Staff and Emergency Services?

Child/ren Emergency Contact

Emergency Contact: Name

First NameLast Name

Emergency Contact: Phone Number

Type a valid Phone NumberFormat: (00000000000).

Child/ren Parent / Carer

Parent / Carer: Name

First NameLast Name

Parent / Carer: Phone Number

Type a valid Phone NumberFormat: (00000000000).

Parent / Carer: Email

Type a valid Email

Parent / Carer: Address

Street Address Line 1

Street Address Line 2

BoroughCity

Postcode

Parent / Carer: Would you like to recieve future invitations on programmes / events / sessions?

Parent / Carer: How did you hear about HAF programme.

Parent / Carer: To ensure all communities are well represented, what is your ethnic background?

Data Protection Policy: At Anytime childcare we respect the privacy of the children attending the Club and the privacy of their parents or carers, as well as the privacy of our staff. Our aim is to ensure that all those using and working at Anytime childcare can do so with confidence that their personal data is being kept secure. The lead person ensures that the Club meets the requirements of the GDPR, All personal information collected in solely to provide service and will not be shared with third parties unless for liaising with statutory bodies when necessary, and responding to any subject access requests.

Medical Release and Authorization: As Parent and/or Guardian of the named child/children, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to anytime childcare ( Bubbles & Smiles), and its affiliates including directors, coaches, and programme mangers to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Conditions: The Department for Education have provided funding for this programme, by signing up for a place you agree that the local council and anytime childcare in providing the Holiday Activities and Food programme that they can share anonymised data with the Department for Education. Once registering your child we will need to share your child’s personal information with local Council who in conjunction with Anytime childcare ( Bubbles and smiles) deliver the Activity and Holiday programme and ONLY for the purpose of the delivery of the programme. It is recommended that you consult with your doctor before your child begins any exercise program but particularly if you are aware that they have any underlying medical conditions. These should be declared on the enrolment form. They should be in good physical condition and be able to participate in the advertised activity. You confirm that the named child above can take part in physical activity organised as part of the programme and that Anytime childcare can not be responsible for any damages to my child or property that may occur as part of the programme. Please note that from time to time we may take pictures of the children who take part in activities and these photographs may be used for promotional reasons associated with the Holiday Activities and Food programme. If you do not wish your child to be photographed please email anytimechildcare@247@gmail.com as well as call 07572200628 to confirm receipt of email. You may have confirmed that it is okay to use images of your child during the booking process. You give permission for your child to take part in activity organised as part of the programme. By filling in the form you are giving local council and Anytime childcare permission to contact you regarding your child’s place on the HAF programme. By making the booking you agree that you are over 18 and in a position of responsibility for the child or young person you are booking for.

Informed Consent and Acknowledgement: I hereby give my approval for my child’s participation in any and all activities prepared by Anytime childcare ( Bubbles & Smiles) during the selected camp. In exchange for the acceptance of said child’s candidacy by Bubbles & Smiles., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Bubbles & Smiles, and all its respective officers, agents, and representatives from any and all liability for injuries to said child/ children arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against anytime childcare ( Bubbles & Smiles) . including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

CONFIRMATION:

I DECLARE THE INFORMATION PROVIDED IS TRUE TO KNOWLEDGE.

Parent / Carer Signature