Activities Week 11th-13th May 2020

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This is a normal school week Monday to Wednesday, where pupils are encouraged to sample new experiences.

Full Name of Student *

Date of birth of Pupil *

Registration Class

Column 10

Telephone Number(s) where Parent/Carer may be contacted *

Name and Contact details of Emergency Contact including phone number *

Name of Family Doctor and Medical practice *

Any know allergies (if appropriate) or medications. Write N/A if not applicable. *

Monday 11th May Activities *

Tuesday 12th May Activities *

Wednesday 13th May Activities *

Parent/Carer Consent *

I consent for the chioces made for the pupil named above.

Required

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