Your Name (required)
Your Email (required)
Your Order Number (required)
Child/rens Name (required)
Child/rens DOB (required)
Child/rens Address (required)
Emergency contact name 1 (required)
Emergency contact address 1 (required)
Emergency contact contact number 1 (required)
Emergency contact name 2 (required)
Emergency contact address 2 (required)
Emergency contact contact number 2 (required)
*We understand that from time to time you may need other persons to collect your child. To help us safeguard and protect your child we ask that you can provide a memorable password that can be asked for in these circumstances.
Your Password (required)
Childs medical/allergies conditions: Please state weather your child has any ongoing medical conditions or is taking regular medication. If this is so you will be asked to fill in a medical consent form on your child’s first day attending holiday club, this is to allow trained staff to administer medication to your child if needed. Any child that suffers from asthma must have their inhaler with them each day to participate in the activities that are on offer. We also politely remind you that it is your responsibility to ensure all details are correct and up to date.
During the holidays we will be taking photos of the children attending for future marketing purposes including our website and social media.Please tick below to say you are happy for your child’s photo to be taken/used.
Which school does your Child/ren Attend?
Are both parents keyworkers?
Is either parent a keyworker?