Christmas 2026 Activities

1

Does your child have a referral to SELFA?* This field is required.If you're not sure, please contact SELFA on 01756 533110

YESNO

2

Your child must have a referral to SELFA to access our activities.

The referral form link can be found on our website. This should be completed by a professional working with your child and/or family e.g. a social worker, teacher, SEN Co, health visitor, doctor etc.

3

Your name* This field is required.Name of person completing this form

First Name

Last Name

4

Email* This field is required.Your email address

example@example.com

5

Child's name* This field is required.Your child's name. If you have more than one child who attends SELFA please complete one form for each.

First Name

Last Name

6

Date of birth* This field is required.Please give your child's date of birth

Date

7

Child's school

8

Is your child eligible for income related free school meals?* This field is required.

YESNO

9

Have you received FEAST codes for your child for previous school holidays* This field is required.FEAST codes are issued by North Yorkshire Togther and allow parents to book places at holiday activities for their child

YESNO

10

Please select an activity type/location* This field is required.Please note - SEND Family Activities are for children and young people to attend with a parent/carer, and are for those who need 1-1 suppport.

Primary-age (Skipton)

Primary-age (Bentham)

Primary-age (Settle)

Secondary-age Skipton (11 to 18 years)

Secondary-age Settle/Bentham (11 to 18 years)

SEND Family Activities

11

Please tick the activities you would like your child to attend

Monday 21st December - Family Activity Session - 10am to 12pm at Flourish

Wednesday 23rd December - Family Trip - details tbc.

12

Who will be attending?Where possible, our family SEND activities are open to siblings as well as the referred child (sorry, we cannot offer places to the wider family or friends). If you would like a sibling/s to come, please let us know.

13

Any commentsPlease let us know if there is anything we need to know

14

Data Protection Acknowledgement* This field is required.