Easter HAF Camp – Doncaster – takethereinscic.co.uk

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Doncaster Easter HAF Camp

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Please select the dates you will be attending *

Monday 30th March
Tuesday 31st March
Wednesday 1st April
Tuesday 7th April

Child's Full Name *

Child's Date of Birth *

Child's Gender *

Male
Female
Other

Child's Address including Post Code *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Which school does your child attend? *

Parent/Guardian Full Name *

Relationship to Child *

Parent/Guardian Telephone No. *

Parent/Guardian Email Address *

2nd Emergency Contact Name *

2nd Emergency Contact Telephone No. *

Relationship to participant *

Does your child have any allergies? *

Does your child have any dietary requirements? *

Does your child have SEND? *

Does your child have a disability? *

Does your child have a medical condition? *

Please tick the boxes below if any are relevant to your child

Will they need medication whilst in our care
Do they carry emergency medication
Previous injuries we need to be aware of
Mental health considerations
Any additional support required

If you ticked any of the above boxes please provide details below.

Is there anything else you would like to inform us about your child? Please provide details below.

I give full consent for the participant named on this form to fully participate in this programme. *

Please confirm your consent for photographs and film footage to be taken and used for social media and promotional purposes. *

Unless you tell us otherwise, we will allow your child to leave with the adult which collects them. We will not allow your child to leave unattended unless you inform us beforehand. *

like leave please

Unique Code received from Doncaster Council Benefits Team (optional)

Optional section for you to provide further information

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