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Alresford Youth Association - Child Registration Form
All information is held in accordance with our privacy policy in line with GDPR guidelines. In order to provide a safe and effective service to the children in our care.
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* Indicates required question
Email
*
Your email
I have read the HAF Privacy policy and agree to the sharing of information for the purpose of HAF funded spaces at holiday club
http://www.theaya.org/holiday-clubs.html
*
I agree
I disagree
Not applicable
Name of Child:
*
Your answer
DOB
*
MM
/
DD
/
YYYY
School your child attends:
*
Your answer
Does your child qualify for benefits related Free School meals:
*
Yes
No
Current home address:
*
Your answer
Parent or Guardian email address (used for contact and billing):
*
Your answer
Mornings required:
Monday
Tuesday
Wednesday
Thursday
Friday
Afternoons required:
Monday
Tuesday
Wednesday
Thursday
Friday
Name of First point of contact, telephone number and relationship to child:
*
Your answer
Name of second point of contact, telephone number and relationship to child:
*
Your answer
Name of third point of contact, telephone number and relationship to child:
Your answer
People allowed to collect your child:
*
Your answer
Agreed password for collection, if required by staff:
*
Your answer
I am happy for my child to watch PG films vetted by staff
*
Yes
No
I am happy for my child to have their photograph taking and used for promoting the setting
*
Yes
No
I am happy for my child to play on appropriate electronic devices (short times and monitored)
*
Yes
No
I am happy for my child to take part in celebrations at the club e.g. Halloween, Bonfire night, Christmas, Easter
*
Yes
No
Other:
I would like my child to be given the correct dosage of paracetamol if required - following a telephone call to confirm
*
Yes
No
I am happy for staff to liaise with the school teachers and staff in regards to my child
*
Yes
No
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