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Footie FIX - Holiday Programme REGISTRATION FORM
7th - 11th October 9am - 3pm. Freyberg High School
School Holiday Programme for 7 -12 year olds
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Email
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Your email
Registrants Name
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Your answer
Guardians Contacts; Name, Number.
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Your answer
What days will you attend?
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Monday
Tuesday
Wednesday
Thursday
Friday
ALL 5 DAYS
Required
MEDICAL - Does your child have any allergies or medical conditions we need to be aware of? If yes - please explain
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Your answer
I give consent for the organisers to use any photographs taken during the programme on social media for marketing purposes?
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Yes
No
Required
CANCELLATIONS - I understand that no refund will be given if my child cannot attend the programme for any reason. (Cancellations prior to 3rd October will be fully refunded)
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Yes
Required
PICK UP/DROP OFF - I understand I must drop off my child between 8.30am-9am and collect prior to 3.30pm each day.
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YES
Required
Emergency Contact - Please provide the name & contact number of 2 x Emergency Contacts who can be contacted during the camp
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Your answer
PAYMENT - I understand that payment must be made in FULL prior to the 2nd October 2019
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YES
Required
Shared Lunch Friday - We will have a shared lunch of Pizza & Chips on Friday (last day). Please let us know if there are any special dietary requirements we should be aware of?
Your answer
OTHER - Is there anything else we need to be aware of? If yes please indicate below
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Your answer
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