Inclusive Sports and Activity Club
Booking

Date(s) attending (required)
18th April25th April2nd May9th May16th May23rd May

Child Full Name (required)

Child Date of birth (dd/mm/yyyy) (required)

Child School (required)

Child #1 Year Group (required)
ReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9

Child #1 Medical Information (including allergies) (required)

Child #1 SEN/D Information (required)

Additional Information - Please detail anything you feel we may need to know or that would support us in meeting your child's needs.

Parent/Guardian Name (required)

Parent/Guardian Email (required)

Parent/Guardian Phone number (required)

Emergency contact phone (required)

Do you agree to photos to be taken of your child for marketing and promotional materials (required)
YesNo

Do you agree to information being stored and processed for communication purposes in accordance with GDPR (required)
YesNo

Please tick to state you have read and agree to our Terms and Conditions. Agree