Divine Buzz
Easter HAF (AM) Registration -  Session starts 9:30 am - 1:30 pm
Sign in to Google to save your progress. Learn more
Parent/Carer's name *
Parent/Carer's email address *
Parent/Carer's phone number *
Parent/Carer's address *
Ethnicity  (Please tick) *
Please enter emergency contact details, including name, relationship, phone number & address: *
How will your child/young person be travelling home? *
Free School Meals eligibility checker. Click on the link below to check your child or children eligibility. If the answer is no then your child/children are not be able to attend this programme. Please do not complete the form and call me on 07951922324
https://pps.lgfl.org.uk/  
Which days(2nd, 3rd, 4th, and 5th April) will your child/young person be attending this programme? Please indicate
 *
Required
Child/ Young Person details
Child 1
Child/ Young Person details *
First Name                                      Last/Surname
Date of birth *
MM
/
DD
/
YYYY
Gender *
Name of school( attended September 2022) *
Primary or Secondary *
Local Authority of School *
Pupil Home postcode *
Does your child/young person receive Free School Meal? *
If no, do you have no recourse to public fund?
Clear selection
Does your child/young person have any allergies or dietary requirements? *
If yes to allergies, please copy to open link below to fill out an allergy form
https://forms.gle/4ixaDyVNkXrrFw6MA
If yes to any dietary requirements, please detail  example  vegetarians, no pork, etc
Does your child/young person have an educational and health care plan(EHCP) at school? *
If yes, please specify:
Is there any medication your child is taking that we need to be aware of ? Please indicate: *

Can your child swim at least 25 meters.


 *

Can your child cycle very well.


 *
Child 2
Child/ Young Person details
Child/ Young Person details
Frist name                           Last name/Surname
Date of birth
MM
/
DD
/
YYYY
Gender
Clear selection
Ethnicity
Clear selection
Name of school(attended in June 2022)
Primary or Secondary
Clear selection
Local Authority of School
Pupil Home postcode
Does your child/young person receive Free School Meal?
Clear selection
If no, do you have no recourse to public fund?
Clear selection
Does your child/young person have any allergies or dietary requirements?
Clear selection
If yes to allergies, please copy to open link below to fill out a form
https://forms.gle/RTsuT2Ya7JzSK8wv9
If yes to any dietary requirements, please detail  example  vegetarians, no pork, etc
Does your child/young person have an educational and health care plan(EHCP) at school?
Clear selection
If yes, please specify:
Is there any medication your child is taking that we need to be aware of? Please indicate:
Can your child swim at least 25 meters.
Clear selection
Can your child cycle very well.
Clear selection
Child 3
Child/ Young Person details
Child/ Young Person details
Frist name                           Last name/Surname
Date of birth
MM
/
DD
/
YYYY
Gender
Clear selection
Ethnicity
Clear selection
Name of school(attended in June 2022)
Primary or Secondary
Clear selection
Local Authority of School
Pupil Home postcode
Does your child/young person receive Free School Meal?
Clear selection
If no, do you have no recourse to public fund?
Clear selection
Does your child/young person have any allergies or dietary requirements?
Clear selection
If yes to allergies, please copy to open link below and fill out the form
https://forms.gle/RTsuT2Ya7JzSK8wv9
If yes to any dietary requirements, please detail  example  vegetarians, no pork, etc
Does your child/young person have an educational and health care plan(EHCP) at school?
Clear selection
If yes, please specify:
Is there any medication your child is taking that we need to be aware of ? Please indicate:
Can your child swim at least 25 meters.
Clear selection
Can your child cycle very well.
Clear selection
Child 4
Child/ Young Person details
Child/ Young Person details
Frist name                           Last name/Surname
Date of birth
MM
/
DD
/
YYYY
Gender
Clear selection
Ethnicity
Clear selection
Name of school(attended in June 2022)
Primary or Secondary
Clear selection
Local Authority of School
Pupil Home postcode
Does your child/young person receive Free School Meal?
Clear selection
If no, do you have no recourse to public fund?
Clear selection
Does your child/young person have any allergies or dietary requirements?
Clear selection
If yes to allergies, please copy to open link below and fill out the form
https://forms.gle/RTsuT2Ya7JzSK8wv9
If yes to any dietary requirements, please detail  example  vegetarians, no pork, etc
Does your child/young person have an educational and health care plan(EHCP) at school?
Clear selection
If yes, please specify:
Is there any medication your child is taking that we need to be aware of? Please indicate:
Can your child swim at least 25 meters.
Clear selection
Can your child cycle very well.
Clear selection
Child 5
Child/ Young Person details
Child/ Young Person details
Frist name                           Last name/Surname
Date of birth
MM
/
DD
/
YYYY
Gender
Clear selection
Ethnicity
Clear selection
Name of school (attended in June 2022)
Primary or Secondary
Clear selection
Local Authority of School
Pupil Home postcode
Does your child/young person receive Free School Meal?
Clear selection
If no, do you have no recourse to public fund?
Clear selection
Does your child/young person have any allergies or dietary requirements?
Clear selection
If yes to allergies, please copy to open link below and fill out the form
https://forms.gle/RTsuT2Ya7JzSK8wv9
If yes to any dietary requirements, please detail  example  vegetarians, no pork, etc
Does your child/young person have an educational and health care plan(EHCP) at school?
Clear selection
If yes, please specify:
Is there any medication your child is taking that we need to be aware of? Please indicate:
Can your child swim at least 25 meters.
Clear selection
Can your child cycle very well.
Clear selection
Consent
I give permission to my child/children to take part in Divine Buzz activities *
Divine Buzz may use your contact details to contact you to discuss your experience of the programme. Also, to offer you further/relevant services, which are optional *
Divine Buzz advises all participant's (parents/Carers/children) that they must be fully well and fit to join in the sessions. If they are not feeling well, they are advised not to join.   *
The Royal Borough of Greenwich may use your contact details to contact you regarding future Holiday Activity Programmes that may be of interest: *
Activities may be recorded through photographs and video film both for the participant to celebrate their experiences but also for evaluation and promotional purposes by the Royal Borough of Greenwich/Divine Buzz.  I agree that the images may be used in media or publicity materials and celebration publications produced by the Royal Borough of Greenwich/Divine Buzz.  I understand that these images may be safely stored or archived digitally or manually and may be publicised in a variety of media forms including  social network sites. *
I give permission to my child/children to take part in Divine Buzz activities *
Divine Buzz may use your contact details to contact you to discuss your experience of the programme. Also, to offer you futher/relevant services, which are optional *
Divine Buzz advises all participant's (parents/Carers/children) that they must be fully well and fit to join in the sessions. If they are not feeling well, they are advised not to join. *
Terms and Conditions
Signing in
All participants are required to register their name at the beginning of each session, for the purpose of Health & Safety and Safeguarding.

Behaviour
No play fighting or unnecessary physical contact is acceptable.
No smoking or drugs are allowed on the premises. Anyone caught drinking or using drugs will be ejected from the premises immediately . Bullying, swearing or name-calling is not acceptable and , will not be tolerated, any offender will be deregistered from the programme. Please be respectful towards our staff and volunteers. Do not be rude or abusive, we are here to help, and will do our best to answer all your queries. All children/ young people are required to follow the house roles.

Equipment
Participants must handle all equipment with extreme caution. It is important not to damage or abuse the resources and equipment.

Children Under the Age of Eight
Parents/Carers with children under the age of eight are required to stay with their child/ children for the duration of the whole programme.

Personal Belongings
Divine Buzz will not be held responsible for any lost property,  please do not bring with you any valuables as we do not have storage for personal items.

Food Sharing
Food items are not to be shared among participants, anyone with dietary needs must indicate it on this form

House Roles
Every participant must abide by the rules set forth by  Divine Buzz.  It is not permitted for participants to change or disrupt the formation or schedule of planned activities. Participants are required to follow the guidelines of that building in which the session is taken place.


All the above are to the discretion of Divine Buzz Fitness staff and volunteers. The Manager has the final say on the decision to ban any participants who do not adhere to the above guidelines.

Data protection information

Divine Buzz keeps the information collected in this form to enable us to understand the needs of participants in order to safeguard and deliver the most appropriate services.

Information about participants may be kept for the purposes of monitoring our equal opportunities policy and also for reporting back to funders.

We collect data for monitoring and evaluation purposes to fulfil our contractual obligation. The organisation is committed to processing data in accordance with its responsibilities under the GDPR. 

If you would like more information about your consent, what it means for you and your information please visit our website at Resources (divinebuzz.co.uk where you can find Divine Buzz's full GDPR policy.

 *
I agree that my child may participate in the activities by submitting this application, and I certify that I have read and agreed to the terms and conditions.
 *
Please visit our website to learn about our activities and to follow us on social media 
Click on the links below 
https://divinebuzz.co.uk         https://www.facebook.com/Divinelybuzz     https://twitter.com/divinelybuzz
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms