Holiday Club Booking Form- October 2019

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Child's Name *

Please complete a separate form for each child you wish to book in to our Holiday Club.

Child's Date of Birth *

Make sure you complete, day, month & year of birth

YYYY

Please book the child listed above into Holiday Club on the following days. *

Thurs 31st October

Wed 30th October

Required

Total Cost *

£24.50 per child for 1 day, £44 for 2 days. Payment must be made in advance to confirm the booking. Please note payment should be by BACS or Debit Card. Sort Code 30-94-99. Acc no: 19578968

I will call office to pay by debit card.

I will pay by BACS

I have a voucher code - please enter voucher code below.

Other:

Voucher Code

If you have a voucher code please enter below, otherwise leave blank.

Parents/ Guardians Name *

Address *

Email *

Home Phone Number *

Mobile Phone Number *

IN CASE OF EMERGENCY: All Oaker Wood staff receive Health and Safety awareness training, and all senior instructors carry a current, valid First Aid Certificate. In case of a medical emergency Oaker Wood staff will contact you on the numbers listed above. We will also contact the emergency services. I agree to my son/daughter receiving medication as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present. I confirm that I fully understand the details of the activity / adventure day at Oaker Wood Leisure which my child will participate in. I agree to my child participating in any or all of the activities as described on our website, and acknowledge that there is an inherent risk in these activities. I accept that in certain circumstances (e.g. weather) the content of the programme may change. I have read and agree with the Cancellation/ Behaviour Policies as outlined on the web site. *

Please Sign & Date

I confirm I am happy for my details/ my child's details to be held on the Oaker Wood database. *

We will send you details of future activity days and events. You can read our Privacy Policy on our web site.

Yes

Further Information

We require an up to date Health & Further information form for each child for 2019. *

I have already completed a 2019 Health Form for this child.

I have not completed a 2019 Health Form. Please email me a form.

Required

Where did you hear about our Holiday Club? *

Been before

Email from Oaker Wood Leisure

Leaflet from my child's school

Leaflet - I picked up somewhere else

Roadside poster

A friend told me about it

Social Media

Newspaper or radio

Other:

Photography *

We sometimes take photographs of our activities for use on our web site and brochures. Please confirm you are happy for photos of your child to be used in promotional material

Yes

For future marketing it is useful to know which school children attend if you live locally. *

Submit

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