Registration Form
Daring Detectives February 2019 half term holiday club.

For children of primary school age.

Wednesday 20th to Friday 22nd February - 10.00am - 1.30pm daily
Family round up day on Sunday 24th - 10:30am - 12:00pm followed by lunch

at Little Paxton School

Refreshments will be provided but please send your child with a packed lunch. (No nuts please)

Hurry! Space is limited!

Email address *
Child's full name *
Your answer
Date of birth *
MM
/
DD
/
YYYY
What days do you anticipate your child will attend? (Best guess is fine)
School Year *
Address *
Please complete your full address and postcode.
Your answer
Contact Name 1 *
Full name of a first contact
Your answer
Contact Number 1 *
The phone number to get hold of contact 1
Your answer
Contact Name 2 *
Full name of a second contact
Your answer
Contact Number 2 *
The phone number to get hold of contact 2
Your answer
Medical Authorisation *
Required
Information
Dietary / Disability / Medication
Please give the details we should be aware of pertaining to allergies, special dietary requirements, illness or disabilities and medication
Your answer
Relationship to the child *
Your answer
A copy of your responses will be emailed to the address you provided.
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