Ripley Leisure Centre – Holiday Camp

Address: Derby Rd, Ripley DE5 3HR

8:30am – Drop off   3:00pm – Collection

Summer Camp Dates: 25th-29th July, 1st-5th, 8th-12th August

A reminder that this booking page is solely for those families who have received a invitation letter with a Unique Reference Code.


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Number of Children*:


If you require a booking for more than 2 Children, please complete a second booking form.

Parent Name*:

Email*:

Phone*:

Postcode*:


Child 1 Name*:

Child 1 D.O.B* (dd/mm/yy):

Child 1 Emergency Contact Number*:

School*:

School Year*:

Medical Info*:

Dietary Requirements*:

Special Educational Needs/Disability*:

Does your child benefit from 1to1 support in school?*:
 Yes No


Please only complete Child 2 details if you have selected 2 Children from the option above.

Child 2 Name:

Child 2 D.O.B (dd/mm/yy):

Child 2 Emergency Contact Number:

School:

School Year:

Medical Info:

Dietary Requirements:

Special Educational Needs/Disability:

Does your child benefit from 1to1 support in school?:
 Yes No


Additional Info:


Do you agree to photos to be taken of your child for marketing and promotional materials?  Yes No

Do you agree to your child/children walking to and using the facilities at one of our Partner Sites? (see risk asssessment for more info)  Yes No

Do you agree to information being stored and processed for communication purposes in accordance with GDPR?  Yes No

 

Please tick to state you have read and agree to our COVID19 Risk Assessment.  Agree

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

If you have any queries please direct them to holidaycamps@avssp.co.uk 

You can find our Terms and Conditions and Risk Assessments for our holiday camp provision by clicking the links below.

Terms and Conditions

AVSSP Holiday Camp Risk Assessment

COVID-19 Risk Assessment