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Holiday Program registration and booking 2022
Wonder Years, 17 Turley Close, London E15 3JD
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* Indicates required question
Email
*
Your email
My child's age
*
Choose
5
6
7
8
9
10
Child's date of birth
*
MM
/
DD
/
YYYY
Child's full name
*
Your answer
Child's school
*
Your answer
Home address
*
Your answer
Parent's names
*
Your answer
Parents contact numbers
*
Your answer
Parents email address
*
Your answer
details of legal parental responsibility
*
Choose
Mother
Father
Both
emergency contact name and number (other than parents)
*
Your answer
Allergies, dietary needs, health requirements
*
Your answer
Special educational needs
*
Choose
Yes
No
My child if eligible for free school meals
*
Choose
Yes
No
Doctors name, address and phone number
*
Your answer
Please note only one session per day per child. If you require more sessions please indicate prefered session time. you will be put on waiting list for additional session and notify when and if place is available
Your answer
5-10 years old activities booking Monday 19.12.2022
8am-12pm
10am-2pm
12pm-4pm
2pm-6pm
5-10 years old activities booking Tuesday 20.12.2022
8am-12pm
10am-2pm
12pm-4pm
2pm-6pm
5-10 years old activities booking Wednesday 21.12.2022
8am-12pm
10am-2pm
12pm-4pm
2pm-6pm
5-10 years old activities booking Thursday 22.12.2022
10am-2pm
Parental permission
*
I/we parent/s of the child named above give permission to:
Emergency medical advice or treatment as considered necessary by medical authorities present
Administer medication (listed on other side of the form, required due to health condition, provided by parent, clearly labelled with child’s name and dosage)
Photographs (to record child’s activities, share with parents, display, local government)
Photographs (program's/settings social media)
Use of outdoor equipment (including climbing frames, swings, slides, balls etc.)
Local outings (park, playground, library, gardens etc.)
Required
Signature (Full parent's name)
*
By completing and signing this document parents/guardians/carers come into legal and binding contract with Wonder Years/FitFam and agree to policies and procedures (available for parents at the club).
Your answer
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