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Expression of Interest Form for a child to attend the Hearts and Wings Haileybury holiday
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Hearts and Wings Residential Holiday 2023
Welcome to Hearts and Wings, in collaboration with Green Frog Holidays.
Please fill in this form if you would like to express an interest in your child attending this holiday
Parent / Carers name
Your answer
Email address
Your answer
Phone Number
Your answer
Child's details
Name
Your answer
Age
Your answer
Gender
Male
Female
Clear selection
Primary Disability
Your answer
Thank you for expressing an interest in the Holiday. Someone from the Green Frog Team will be in touch with you soon.
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