Registration for Summer 2018

Child's Name:

Class:

Week 1
Monday 16th July AMPMFull Day
Tuesday 17th July AMPMFull Day
Wednesday 18th July AMPMFull Day
Thursday 19th July AMPMFull Day
Friday 20th July AMPMFull Day
Week 2
Monday 23rd July AMPMFull Day
Tuesday 24th July AMPMFull Day
Wednesday 25th July AMPMFull Day
Thursday 26th July AMPMFull Day
Friday 27th July AMPMFull Day
Week 3
Monday 30th July AMPMFull Day
Tuesday 31st July AMPMFull Day
Wednesday 1st August AMPMFull Day
Thursday 2nd August AMPMFull Day
Friday 3rd August AMPMFull Day
Week 4
Monday 6th August AMPMFull Day
Tuesday 7th August AMPMFull Day
Wednesday 8th August AMPMFull Day
Thursday 9th August AMPMFull Day
Friday 10th August AMPMFull Day
Week 5
Monday 13th August AMPMFull Day
Tuesday 14th August AMPMFull Day
Wednesday 15th August AMPMFull Day
Thursday 16th August AMPMFull Day
Friday 17th August AMPMFull Day

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

PRICES:

  • Full Day - £25.00 or £125.00 for the week
  • 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
  • Sun hat, Sun cream
  • Bike or scooter and helmet
  • 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:

We take your privacy seriously and will only use your personal information to administer your account and to provide the products and services you have requested from us.

However, from time to time we would like to contact you with details of our special offers and promotions that we provide. if you consent to us contacting you for this purpose please tick to say how you would like us to contact you: