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Holiday Club Summer HAF 2024
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* Indicates required question
Name of child
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Your answer
School the child attends
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Your answer
School year group of child
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Your answer
Childs ethnicity
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Your answer
Childs gender
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Your answer
Childs Date of Birth
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MM
/
DD
/
YYYY
Home address including postcode
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Your answer
Days required (select all that apply)
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Monday 29th July 10am-2pm
Tuesday 30th July 10am-2pm
Wednesday 31st July 10am-2pm
Thursday 1st August 10am-2pm
Monday 5th August 10am-2pm
Tuesday 6th August 10am-2pm
Wednesday 7th August 10am-2pm
Thursday 8th August 10am-2pm
Monday 12th August 10am-2pm
Tuesday 13th August 10am-2pm
Wednesday 14th August 10am-2pm
Thursday 15th August 10am-2pm
Monday 19th August 10am-2pm
Tuesday 20th August 10am-2pm
Wednesday 21st August 10am-2pm
Thursday 22nd August 10am-2pm
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?
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I would like to order a lunch for each booked day from Buds & Blossoms
I will bring my child a packed lunch from home
Name of parent/carer completing the form
*
Your answer
Parent/carers email address
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Your answer
Parent/carers contact number
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Your answer
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.
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Your answer
Please provide the details of anyone else who will be collecting the child.
Please provide the name and relationship to child.
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Your answer
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.
*
Your answer
Does your child suffer from any medical conditions? If yes please give details
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Your answer
Does your child suffer from any allergies? If yes please give details
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Your answer
Are there any ongoing safeguarding concerns involving your child? If yes please give details
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Your answer
Please provide any additional information you feel we should be aware of in relation to your child's health, well-being or dietary requirements.
Your answer
Permissions
Please tick the boxes below if you give permission for the following
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Go on local outings under the supervision of Buds & Blossoms staff (compulsory)
Have first aid administered if necessary (compulsory)
Be transported by mini bus or car (compulsory)
Use face paint/makeup/nail polish
Take part in tasting sessions
Have temporary tattoos applied
Have sun cream applied if own is not provided
In the event of an emergency, I agree to a member of staff taking my child to the nearest hospital.
Be photographed or recorded
Images to be used on our social media
Images to be used in setting (displays)
Images to be used by press or other broadcast media
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.
*
Your answer
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