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Summer 2022 food and activities @ Trinity Hall/ Holy Trinity Church
August the 4th, 11th,18th and 25th 12-2.30
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Email
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Name of adult filling in form (First and last)
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Phone number
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House number
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Street name
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Postcode
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Please tick the dates you will be coming to these Summer Activity events
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Thursday the 4th of August
Thursday the 11th of August
Thursday the 18th of August
Thursday the 25th of August
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How many adults are attending from your household? Mark only one oval.
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1
2
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5
6
How many children under 5? Mark only one oval.
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0
1
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5
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7
8
How many children 5-11? Mark only one oval.
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0
1
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How many children/ teenagers 12-18? Mark only one oval.
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0
1
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5
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1st child-Please answer this question for the FIRST child/teenager in your group- What is their first and last name?
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Your answer
1st child- What is their date of birth
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MM
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DD
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YYYY
1st child- Which school were they at in the summer term of 2022?
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Your answer
1st child- do they get free school meals
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Yes
No
2nd child-Please answer this question for the SECOND child/teenager in your group- What is their first and last name? Please put NA if you don't have a second child.
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Your answer
2nd child- What is their date of birth?
MM
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DD
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YYYY
2nd child- Which school were they at in the summer term of 2022?
Your answer
2nd child- Do they get free school meals?
Yes
No
Clear selection
3rd Child- Please answer this question for the THIRD child/teenager in your group- What is their first and las name? Please put NA if you don't have a third child.
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Your answer
3rd Child-What is their date of birth?
MM
/
DD
/
YYYY
3rd Child- Which school were they at in the summer term of 2022?
Your answer
3th Child- Do they get free school meals?
Yes
No
Clear selection
4th Child- Please answer this question for the FOURTH child/teenager in your group- What is their first and last name? Please put NA if you don't have a fourth child.
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Your answer
4th child-What is their date of birth?
MM
/
DD
/
YYYY
4th child- Which school were they at in July 2022?
Your answer
4th child- Do they get free school meals?
Yes
No
Clear selection
Does anyone in the family group have allergies or dietary requirements? If so please let us know what they are and who has them.
Your answer
Any other comments? Please use this space to give us details about your children/teenagers (name, DOB, School, FSM's) if you have more than 4 children/ teenagers.
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These events are only able to happen due to partnership with Blacon Beacon, Holy Trinity Church, Avenue Services, Edsential and Blacon Children's Centre. Please tick this box to say that you agree with the safe storage of key information from these forms and with details being shared with organisations within this partnership. Please email Lesley at
lesleyblaconbeacongm@gmail.com
if you have any questions or concerns about this.
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I agree with the above statement
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