Bright Beginnings – Green Hill Community Hub

Parent/Guardian Information

Parent Name *

First

Last

Email *

Phone *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Please select the days you would like your child to attend Bright Beginnings Holiday Club - Green Hill Community Hub: *

Monday 11th April, 2022 - Easter Egg Hunt & Party Games
Tuesday 12th April, 2022 - Design a Hat & Foraging Workshop
Wednesday 13th April, 2022 - Animal Face Painting & Nature Trail
Thursday 14th April, 2022 - Fancy Dress with Easter Prizes

Child Attending Information

Child's Name *

First

Last

Child's DOB *

Child's Age *

Which school does your child attend? *

Would you consider your child to have a disability? If yes, please specify: *

Yes
No

Please specify your child's condition; *

Does your child have any medical conditions or additional needs? If yes, please specify: *

Yes
No

Please note any medical conditions; *

Emergency contact details (add as many as needed); *

Video & Photography - I hereby consent to West Lancs HAF and Partners using images of my child in video recordings, and/or photographs and understand that these may be used to promote future Holiday Camps inline with the West Lancs HAF Privacy Notice** *

Yes
No

Please click here to view our West Lancs HAF Privacy Notice.

Eligibility

Due to government funding we are able to offer eligible children FREE places at our holiday camps ran by our highly qualified staff, and at other local activities that are delivered by our partner organisations. Places are currently only available to children in receipt of benefits related free school meals and will be allocated on a first come first served basis, so we would encourage you to sign up for these places as soon as possible. All activities will include a FREE LUNCH as part of the offer, therefore it is important that you please complete the allergen information below.

Free School Meal Status - Is your child currently in receipt of Free School Meals? *

Yes
No

Allergens - Does your child have any dietary requirements or food allergies?If yes, please specify: *

Yes
No

Please note any allergens; *

Disclaimer *

Yes, I agree to the term and conditions noted on this registration form.

When participating in any provision delivered in partnership with the West Lancs HAF programme, you are doing so at your own risk. West Lancs HAF and/or Partner Organisations cannot be held responsible or liable for any injury to yourself, or damage to any personal property that may occur when taking part in any provision. By submitting this form you agree to West Lancs HAF sharing this data - in accordance with the West Lancs HAF Data Protection Policy* - with the Local Authority, The Department for Education, and Partner organisations in order to submit an engagement analysis report on the impact of the Holiday Activity Fund. By submitting this form I agree that my child is in receipt of free school meals and eligible to attend this camp for free - any false information will result in this booking being cancelled. By submitting this form you understand that this booking is subject to change due to Covid-19 Government guidance at the time of the Camp and/or event capacity being reached.

Please click here to view our West Lancs HAF Data Protection Policy.

Parent/Guardian Information

Child Attending Information

Eligibility

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