Holiday Club Registration

Registration Form
Monday 11th and  Tuesday 12th April 2022 - 10am - 1.30pm


Name of Child 1:*
Age:*
Name of Child 2:*
Age:*
Tick which day:*
Mon
Tues
Both
Name of Parent/Guardian/Carer:*
Address:*
Telephone Number:*
Email Address:*
Allergies or medical history including food allergies:
In the event of emergency I give permission for emergency treatment to be given:*
Yes
No
We will be taking photos on the day, please confirm use for social media:*
Yes
No
* Required Fields