Tany's Dell Primary School Summer Holiday Course

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Tany's Dell Primary School Summer Holiday Course - Booking Form

Please complete the short form to provisionally book your child's(rens) place on the holiday courses taking place at Tany's Dell Primary School

Parent/Carer Name *

Parent/Carer Email *

Emergency Contact Number 1 *

Emergency Contact Number 2 *

Child's first and surname *

Child Date of Birth *

YYYY

What Primary School does your child attend? *

Child Year Group *

Ethnicity (if you are happy to share)

White English/Welsh/Northern Irish/Scottish/British

White Irish

Mixed White and Black Caribbean

Mixed White and Black African

Mixed White and Asian

Asian

Asian British

Black African

Black Caribbean

Black British

其他：

Please note any medical conditions

Please note any specific dietary requirements or food allergies

I can confirm that I am eligible for a free space on the Essex ActivAte summer programme because: *

My child is eligible for benefits based free school meals

We are a working family who is struggling financially and would benefit from this holiday club support

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