HOLIDAY CLUB SIGN UP Student’s Information Name(required) Address(required) Postcode(required) Date of Birth(required) Any medical history/allergies or special needs?(required) YES NO If YES please provide details below Is the named student entitled to Free School Meals? YES NO If YES please provide your school booking code below Select the classes you would like to enrol for(required) Jungle Book: 2 – 6 August SING: 16 – 20 August Princess and the Frog: 23 – 27 August Parent/Carer’s Information Name(required) Relationship to Student(required) Contact Number(required) Email address(required) I give permission for first aid to be given if deemed necessary by an appointed person. I agree to the capture and use of photographic images, film and sound recordings of the named child.* I understand that by submitting my information I am giving permission for Halcyon Creative Kids to contact me via email, text or phone call. I understand that the information given above will only be used by Halcyon Creative kids and will be kept on a computer database. I have read and understand the relevant policies available at https://halcyoncreativekids.co.uk/policies/ Send *For use in the documentation, evaluation, promotion, marketing and publicity of Halcyon Creative Kids. These images and recording may be used, reproduced and distributed in print, electronically and mechanically, including via websites and e-mailings.