Holiday Club Acceptance

This form is to collate final details for participation in our school holiday club. Please complete the form for each child you have taking part. Many thanks.

Child's name / surname

First Name

Last Name

Child's date of birth DD/MM/YYYY

Food preference

Lunch and snacks are included as part of holiday club participation. Please choose a lunch roll option for your child.

Cheese roll (buttered)

Cheese roll (no butter)

Ham roll (buttered)

Ham roll (unbuttered)

Please add other diet requirements to be aware of.

In addition to the roll above, we will provide the following food for your child. 2 x petit filous yogurts 1 x banana 1 x easy peeler clemintine 1 x baby bell light 1 x packed of Pom Bear crisps 1 x packet of mini cookie biscuits 1 x Capri sun drink (orange)

Emergency Contact 1

First Name

Last Name

Emergency contact 1 phone number

Emergency Contact 2

First Name

Last Name

Emergency contact 2 phone number

Confirm your email address (one that you check regularly)

I have read the Adventure Circus terms and conditions and agree to them.

I agree

I do not agree

Holiday Club Acceptance

You belong here. Join us!

You belong here.
Join us!