Booking

The Green Outdoors – October Half Term club 2018

Wednesday October 17 – Friday October 19
Please note: Thursday Oct 18 club closes at 17:00

Monday October 22 – Friday October 26

for children aged between 6 to 12 years old

Cost £35.00 per day from 09:00 – 17:00 (lunch included)
+ £2.50 for early drop off 08:00 – 09:00 (breakfast included) & + £2.50 extended collection 17:00 – 18:00 (tea included) Please note: there is no extended collection on Thursday Oct 18th.

We also offer a 15% sibling discount

Book your spaces below.

Name(required)

Address(required)

Email(required)

Phone Number(s)(required)

Child Name(required)

Child D.O.B(required)

Child Name (2)

Child D.O.B (2)

Child Name (3)

Child D.O.B (3)

Dates(required) Wed Oct 17th

Thurs Oct 18th

Fri Oct 19th

All week Oct 17-19

Mon Oct 22nd

Tues Oct 23rd

Wed Oct 24th

Thurs Oct 25th

Fri Oct 26th

All week Oct 22-26

Hours(required) 8am to 5pm 9am to 5pm 8am to 6pm 9am to 6pm

Dietary Requirements

Medical Information/Any health restrictions or current treatment (please inc. asthma & hay fever)

Does your child have any allergies?

National Health Number

Doctor's Name & Address(required)

Emergency Contact Name(required)

Emergency Contact Telephone(required)

Emergency Contact Email

Questions/Comments

1. I give my permission for my child to participate fully in the Green Outdoors activities.(required)

2. I will inform the event leaders if my child has been in contact with any infectious diseases within four weeks prior to the event.(required)

3. I give my consent for my child to be given basic First Aid treatment by a member of the Leadership Team should an accident occur.(required)

4. If it becomes necessary for my child to receive medical treatment and I cannot be contacted by telephone or any other means to authorise this, I hereby give my general consent to any necessary medical treatment and authorise the Leaders to sign any document required by the Hospital authorities.(required)

5. I am happy for photographs of my child to be used in The Green Outdoors publications.(required)

(required)

Parent or Guardian Name(required)

Date(required)

I understand the questions on this form and have given replies to them.(required)

Thank you for contacting us, we will respond with a booking confirmation and payment instructions very soon.

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