Young Arts Holiday Club, Sign Up 2023/24

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Easter Holiday Club BOOKING AVAILABLE.

Tuesday 9th - Thursday 11th April 2024

This is a three day holiday club featuring your favourite creative activities brought together under the banner ‘Urban City’ so all your creations will feature urban scenes or styles and come together in a pop up show for your family to view at the end of the club on Thursday.

This form is to register, the checkout link for payment is at the end.

All materials are provided just bring along a packed lunch with no nuts and we will provide everything else.

10am-3.30pm, Palace Court, Buckwell Street

To take part, you should be aged 9-15 years

Student Details

A parent or carer should complete this form.

Students First Name *

Students Surname *

Preferred name (only required if different)

Student Date of birth *

YYYY

Gender *

Home address line 1 *

Home address line 2 *

Town or County *

Home postcode *

School/College currently attending *

If home schooled, please state "Home School"

Ethnicity (optional, for monitoring purposes only)

Does your child to have a disability, learning difficulty, medical condition, mental health condition or social requirement? Please includes asthma and allergies *

If you have answered yes, please describe your child's disability, learning difficulty, medical condition, mental health condition or social requirement.

If none then choose 'No Information required'

No Information required

ADD or ADHD

Allergy

Anxiety

Aspergers syndrome

Asthma

Autism spectrum disorder

Diabetes

Disability affecting mobility

Dyscalculia

Dyslexia

Emotional/behavioural difficulties

Epilepsy

Hearing impairment

Learning difficulty

Mental health need

Multiple disabilities

Temporary disability after illness or accident

Visual impairment

Other learning difficulty

Other medical condition

Other physical disability

Other (use free text)

If you have declared a learning need, disability or medical condition, or if your child will require support in some way to access the course, please use this part of the form to outline, or to ask us to contact you direct. This is to help us to make any reasonable adjustments for your child. Please note that this course is structured for independent learners so if your child receives 1-2-1 support to access education, it may not be suitable

Medical info such as inhalers/EPI pen details, allergies, EHCPs, or, any more informal supporting information can be listed here.

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