Please enable JavaScript in your browser to complete this form.Participants Name *FirstLastPrimary SchoolAge - please note must be aged 6 - 11 yearsParent/Guardian NameParent/Guardian EmailParent/Guardian Telephone numberParent/Guardian AddressName of Second Parent/Guardian Contact number of second Parent/Guardian Red Group - Please tick which days your child will be attending. Note participant can attend one or both mornings.Tuesday 20th Dec 8.30 - 12.30 to INCLUDE lunchWednesday 21st Dec 8.30 - 12.30 to INCLUDE lunchDoes the participant have any dietary requirements *YesNoIf yes, please give details.Does your child have special education needs or disability? *YesNoIf yes, please give details.Is the participant in receipt of benefit-related Free School Meals (FSM)? *YesNoWe may take photographs and videos of the activity session, please specify if you are happy for your child/children to be featured in these images which maybe used on our website and social media pages. *YesNoFor child safety we ask you give a password below which the guardian/parent will need to give when collecting child/children from the session.Please enter code if the participant does not receive Free Schools Meals but has been identified as eligible for this programmeSubmit Share this:Tweet