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Street-WYze Holiday Camps
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1
Date they wish to attend
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You can select multiple answers
Tuesday 26th May
Wednesday 27th May
Thursday 28th May
All three days
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2
Email Address
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3
Your Full Name
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First Name
Last Name
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4
Child's Full Name
*
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First Name
Last Name
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5
Childs Date of Birth
*
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Date
Day
Month
Year
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6
First line of address
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7
Postcode
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8
Emergency Contact Number
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9
What school do they attend
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10
Allergies or Illnesses
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11
Do you give permission for your child to be photographed or filmed during camp activities?
*
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YES
NO
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12
Do you want to add another child?
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13
Second Child's Full Name
*
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First Name
Last Name
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14
Second Child's Date of Birth
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-
Date
Day
Month
Year
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15
Same address as the first child?
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No
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16
First line of address
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17
Postcode
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18
Is this the same emergency contact number as previously provided?
*
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19
Emergency Contact Number
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20
What school do they attend
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21
Allergies or Illnesses
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22
Do you give permission for your child to be photographed or filmed during camp activities?
*
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YES
NO
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23
Do you want to add another child?
*
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24
Third Child's Full Name
*
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First Name
Last Name
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25
Third Child's Date of Birth
*
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-
Date
Day
Month
Year
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26
Is this the same address as previously provided?
*
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Yes
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27
First line of address
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28
Postcode
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29
Is this the same emergency contact number as previously provided?
*
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Yes
No
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30
Emergency Contact Number
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31
What school do they attend
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32
Allergies or Illnesses
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33
Do you give permission for your child to be photographed or filmed during camp activities?
*
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YES
NO
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34
Do you wish to provide us with anymore information?
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