Holiday Club Summer HAF 2024
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Name of child *
School the child attends *
School year group of child *
Childs ethnicity *
Childs gender *
Childs Date of Birth *
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DD
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Home address including postcode *
Days required (select all that apply)

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Required
HAF places include a free lunch or if you prefer you can bring your child a packed lunch. Will your child be having a free lunch provided by Buds and Blossoms? *
Name of parent/carer completing the form *
Parent/carers email address *
Parent/carers contact number *
Please give the contact details of at least 1 other person who we can contact in the event of an emergency if we cannot reach the parent/carer completing this form.

Please provide their name, relationship to the child and contact number.
*
Please provide the details of anyone else who will be collecting the child.

Please provide the name and relationship to child.
*
Does your child have any additional needs? If yes please give details. If your child has previously attended Buds & Blossoms you do not need to give details. *
Does your child suffer from any medical conditions? If yes please give details *
Does your child suffer from any allergies? If yes please give details *
Are there any ongoing safeguarding concerns involving your child? If yes please give details *
Please provide any additional information you feel we should be aware of in relation to your child's health, well-being or dietary requirements.
Permissions

Please tick the boxes below if you give permission for the following.
HAF funded places are for children who are eligible for benefits related free school meals. We may contact you to ask for confirmation of eligibility. 

Please provide your HAF code.
*
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