Floating Classroom: Summer Holiday Club Registration Form

Floating Classroom Summer Holiday Club Registration Form

Because this project involves group work over multiple days, children need to be able to attend all dates for the club. You can sign up using the form below.
Child's Full Legal Name

First NameLast Name
Which dates of the club would you like to attend?
Child's Preferred Name (if different)
Child's Date of Birth

DayMonthYear
Date
Name of child's school
School's Postcode
Type of school
Parent / Guardian / Carer's Name

First NameLast Name
Email Address
example@example.com
Phone Number
Child's Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Please provide a name and phone number for an additional emergency contact (in case we can't reach you)
Does your child have any access or learning needs?
If yes, please provide details so that we can ensure that we are able to provide appropriate support.
Does your child have any dietary requirements or allergies?
Is the child eligible and registered for means tested Free School Meals?
Is the child a refugee or asylum seeker?
Photo Consent
Signature
How did you hear about this club?
Would you like to receive information about future holiday and afterschool clubs at the Floating Classroom by email?
Should be Empty:

Floating Classroom Summer Holiday Club Registration Form