EmailMe Form - Summer School 2022

Parent Name

First Last

Child 1 Name

First Last

Child 1 Date of Birth

Child 2 Name

First Last

Child 2 Date of Birth

Parent Email for info. PLEASE ensure this is typed correctly as we send direct from this data.

Can we use this email address to email you about workshops and activities OTHER THAN the activity you are booked onto? This would be future workshops, any additional summer dates etc. (This covers our GDPR requirements)

Yes please email me

No do not email me, only email me specifically about my bookings

Parent Emergency Contact 1 (Name and Mobile No)

Parent Emergency Contact 2 (Name and No)

Home Postcode

Please tick the workshops you are booking for your child:

Please tick the workshops you need EARLY CARE (830am) your child:

Please tick the workshops you need LATE CARE (5pm) your child:

Any medical conditions, allergies, dietary requirements, toileting support or special educational needs that we need to be aware of? If none type N/A.

I give consent for my child to take part in film and photos as part of the Wildcats Holiday Programmes.. I understand this media will be shared online, however no names are used unless we directly ask a parent for named photo usage. If you do tick disagree, we will remove your child from any photos that are taken of the workshop activities or blur their face on the images. Please be aware this would mean they are not able to be filmed in group pieces etc for parent/media viewing.

I agree

I disagree - my child CANNOT be in any photos or media.

One day workshops are £25.00 and are payable on booking. Week long workshops are £145 per child and a £45 deposit secures the booking. For week long programmes there is no extra cost for E and L care. For one day workshops we charge £2 on the door per child per session used. This is paid direct in cash on the day.

BACS: Sort Code - 08-92-50. Account Number: 68310321

Please ensure you use your CHILDS NAME as booked so we can match your payment

I confirm and will be paying the deposit / workshop fees by BACS