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Dees Curious Minds Summer Holiday Club 
Child Registration – Summer Holiday Club

Please complete this form to register your child(ren) for our Summer Holiday Club. All fields marked with an asterisk (*) are mandatory.

Please note: A non-refundable deposit of £30 is required at the time of registration. This will be deducted from your total club fees.

Email *
Parent/Guardian Full Name *
Full Address(With Postcode) *
Contact Number *
Email Address *
Full Name of Child *
Age of Child *
Any additional Child/Children ( Name, Age etc.)
What days do you require?
Week Commencing 20th July 2026
 *
Required
Week Commencing 27th July 2026 *
Required
Week Commencing 3rd August 2026 *
Required
Week Commencing 10th August 2026 *
Required
Emergency Contact (Name, Relation & Phone Number) *
Medical/Dietary  Information (Allergies, conditions, etc.) *
(Optional or required based on your preference)
Permissions!
I consent to my Child/Children's photo being taken/used on social media platforms.
 *
Bank Details for Payment

Monzo Bank
Dees curious minds Ltd
Sc:04-00-03
Ac:93756378

Ref: Childs Full Name
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