Horsforth School Sports Activity Christmas Camp

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Application form and medical information

Email *

Child's Name *

Child's Age *

Child's Address *

Parent Mobile Number (emergency reasons and confirmation of place will be sent to this number) *

Medical Conditions (if none please put n/a) *

The dates you want booking for the camp? *

21st February (£25)

22nd February (£25)

23rd February (£25)

24th February (£25)

All 4 days (£100)

Required

Would you like wrap around care? *

21st February (8.30-9.30 -£5)

21st February (3.30-5.30 - £10)

22nd February (8.30-9.30 -£5)

22nd February (3.30-5.30 - £10)

23rd February (8.30-9.30 -£5)

23rd February (3.30-5.30 - £10)

24th February (8.30-9.30 -£5)

24th February (3.30-5.30 - £10)

ALL (£60)

None

Required

Preferred method of payment (needs paying before the camp starts - please speak to us if any issues) *

Cash

Cheque (payable to Horsforth School)

BACS (SC- 30-65-22 and Acc - 50314868 and reference is your Surname)

Required

We would like to take photographs of the children attending our camps, which may then be used in advertising for our camps on flyers, our website and social media (and other forms of marketing). *

If you are happy for your child/children to have their photograph taken, tick this box

If you DO NOT want your child’s/children’s photograph taken, tick this box

Required

We would like to let you know about future Horsforth School Holiday Camps (we won’t share your details with anyone else).

To sign up for updates, tick this box

Camp starts at 9.30 and finishes at 3.30 however wrap around care is available (before camp from 8.30am and after camp to 5.30pm). Please bring packed lunches, bring plenty to drink, and suitable clothing/footwear for outdoors. 9.30am – 3.30pm (£25/day) *Early drop off from 8.30am (£5/day) Late pick up until 5.30pm (£10/day)

Any questions please contact Horsforth School (0113 2265454) and ask to speak to Ben Steele (Teacher of PE)

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