Hodge Hill HAFS Summer Camp
2025 Summer Camp
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Child's Name *
Which days of club would you like to attend?
Would you like to sign up for free additional hours;  13:00pm - 15:00pm for a £5.00 charge per child, per day?
If yes, please specify dates below.
Date of Birth
MM
/
DD
/
YYYY
Postcode of home address.
Which school does your child attend?
Is Your Child Eligible to benefit related Free School Meals? (Does not include KS1 FSM, Must be Benefit Related) (If no, payment is required) 
Please Enter Your Free School Meals Code Here:
Please enter your child's ethnicity
Does your child have any disabilities we should be aware of? If so, please specify:
Does your child have any special educational needs we should be aware of? If so, please specify:
Medical Information
Does your child have any medical information we should be aware of? If so, please specify:
Food Allergies
Does your child have any food allergies? If so, please specify:
Daytime Contact Name 1 *
Daytime Contact Number 1 *
Daytime Contact Name 2
Daytime Contact Number 2
I give permission for my child to attend Fit Kids Zone clubs
I give consent for my child to have their photos taken within the club that will be used on the Fit Kids Zone website and twitter/ Facebook 
I also give permission for Fit Kids Zone staff to give first aid to my child if necessary
Your Name (required) *
Your Email (required)
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