Carlton October Holiday Club Booking Form 2019
Holiday club will take place at Carlton Hill Dance Studio on the following dates:

Monday, Tuesday and Wednesday 21st, 22nd and 23rd

Payments are to be made when booking to secure your child's place. Payments that are not received the places will be canceled.

Day Price £18.00 per child ( 10% off total for sibling discount)
OFFER: BOOK 3 days for £45 - standard day 9.30am - 3.30pm.
Early drop off and late pick up is now available with a local child minder. For wrap around care please get in touch and we can refer you over.

We require this form to be completed for all children who are being booked on to our holiday club. This is to to ensure that we have all the correct and up to date health and safety information we need to have your children in our care.  If you have any concerns about the data we hold on your child or yourself, all data is under the GDPR law and legislation and our forms are all encrypted.
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Name of Child *
Age of student when attending *
Where did you hear about us?
Please tick the Date you want to attend     (please note we no longer offer early drop off and late collection this option is now provider with a local child minder at reduced price get in touch for more details)
Standard Day 9.30am - 3.30pm
Monday + Tuesday 21st and 22nd Oct
Monday 21st
Tuesday 22nd
Monday 28th + Wednesday 30th Oct
Monday 28th
Wednesday 30th
All 4 days
Aladdin workshop and holiday club
Do you require collection and pick up from Radcliffe on trent? ( this is a first come first serve basis and costs £5 travel ) *
Contact Information
Parent/Guardian Name *
Mobile telephone number *
Home telephone number
Work telephone number
Email Address *
Health and Safety
Does your child have any of the following illnesses/injuries below?
Clear selection
If 'other' has been checked, please give details of their illness/injury below;
Please state what procedures you have taken to ensure their safety when in our care?
Does your child suffer from any allergies, food, drink or other if so please provide details.
Data Protection and Privacy
Information submitted via this form will be held on the Simply Dance Database which is stored in Google Drive and you can read their privacy policy here: https://policies.google.com/privacy.

All data is processed and shared according to our privacy policy - https://simplydancenottingham.co.uk/privacy/.
Please confirm that you are happy for us to hold and share data provided on this form *
Name of person completing this form *
Relationship to child *
Please provide the date in which you have signed this form *
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Payment Details
Please note that we only accept payment by bank transfer to our Holiday Club Bank Account.
Please transfer to Account: 54-21-07 21191263
When paying please use child's full name as a reference.
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