Registration for Easter 2018

Child's Name:

Class:

Week 1
Monday 26th March AMPMFull Day
Tuesday 27th March AMPMFull Day
Wednesday 28th March AMPMFull Day
Thursday 29th March AMPMFull Day
Week 2
Tuesday 3nd April AMPMFull Day
Wednesday 4th April AMPMFull Day
Thursday 5th April AMPMFull Day
Friday 6th April AMPMFull Day

AM – morning sessions are 8am - 1pm including lunch
PM – afternoon sessions are 1pm - 6pm.

PRICES:

  • Full Day - £25.00
  • Morning Session Only - £18.00 including lunch (8am – 1pm)
  • Afternoon Session Only - £15.00 (1pm – 6pm)
  • 10% discount to be applied per sibling

PICK UP AND DROP OFF TIMES:

  • 8.00 - 8:45 am drop off
  • 1:00 pm collection/drop off
  • 5.30 pm-6:00 pm collection

Please adhere to these timings as the children may be out on an activity elsewhere on campus outside these times. If you arrive outside these times, the supervisors will leave details of where you can find them.

PLEASE BRING:

  • Swimming kit
  • Bike or scooter and helmet
  • Warm, showerproof coat & wellies or old trainers (for woodland walks if wet)
  • White soled (non-marking) trainers for the tennis dome

CANCELLATION POLICY:

  • We would be grateful if you would inform the office of any cancellation prior to the commencement of the Holiday Club. It is with regret that once paid, registration fees are non-refundable.

Parental Consent

Child's name

Special interests

My child is a pupil at SMHMy child is not a pupil at SMH

I agree to my child taking part in the SMH Holiday Club and their participation in the activities described in the programme and I acknowledge the need for them to behave responsibly.

Please detail any conditions requiring medical treatment or medication and give specific details of symptoms, medication and dosage:

Please detail any dietary requirements:

Please detail any forms of allergy or allergic reaction (e.g. medication, nuts, stings) and details of any symptoms, medication and dosage:

To the best of your knowledge, has your child been in contact with any contagious or infectious diseases or suffered from anything in the last four weeks that may be contagious or infectious? (If YES please give specific details

When did your child last have a tetanus injection?

Emergency Contact 1
Name:
Telephone:

Emergency Contact 2
Name:
Telephone:

PLEASE INFORM THE GROUP LEADER AS SOON AS POSSIBLE OF ANY CHANGE IN THE MEDICAL OR OTHER CIRCUMSTANCES BETWEEN NOW AND THE START OF THE HOLIDAY CLUB.

I understand that the Stonyhurst school nursing service does not operate over the holiday period and I agree to my son / daughter receiving first aid and emergency medical treatment from SMH Holiday Club staff.

Name:

Your Email: