SIDLEY WINTER FESTIVE FUN HOLIDAY CLUB 2021! for reception / 4 - 7 year olds
FREE Holiday food and fun for families receiving free school meals.
A Heart of Sidley project in partnership with Bexhill Family Collective, Culture Shift and Fit & Fab Families.
For Sidley children aged 4 (in reception) -7 years, funded by East Sussex County Council and Department for Education.
Sign in to Google to save your progress. Learn more
About your child
We will only use the personal details provided here to contact you about your child’s participation in this programme. We will keep a record of your child’s participation for 6 years, after which it will be deleted.
Child's Name and Surname *
Child's Address and Postcode *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's School and Year Group *
Key Contact Information for Parent / Carer
We will only use the contact information provided here to contact you about your child’s participation in this programme. We will keep this information for 12 months, after which it will be deleted.
Parent / Carer Name and Surname *
Parent / Carer Mobile Phone number *
Parent / Carer Email address *
Medical Information
Information on your child’s health and support needs are requested to ensure we are able to support your child appropriately. We will keep this information for 12 months, after which it will be deleted.
Does your child have any medical conditions / allergies we should know about, and treatment required (eg. asthma)? *
Date of last tetanus *
MM
/
DD
/
YYYY
GP Name, Surgery and telephone number *
Do you feel your child has any additional support needs to access your selected holiday activities? If so, please let us know more details *
Any specific dietary requirements (vegetarian / vegan / gluten free / diabetic)? *
Age 4 (in reception) - 7 years activity options
These activities are appropriate for children aged between 4 (in reception) and 7 years old who receive FREE SCHOOL MEALS. Ideally both days should be attended if possible. If over subscribed, priority may be given to those who can attend both days.
Tuesday 21st Dec = 1 x day of Balance, Baking & Making - An exciting day of fun games & activities with Bexhill Family Collective and Fit & Fab Families, including balance bikes, crafts, food fun & more! Venue = All Saints Primary School, Sidley. Time = 10am to 2pm (20 spaces available) *
Thursday 23rd Dec = 1 x day of Space to Create - Creative Arts with artist, illustrator and musician Ed Boxall & a number of other artist colleagues from Culture Shift. Expect to play games, be outdoors and in, and do lots of new creative stuff. Venue = All Saints Primary School, Sidley. Time = 10am to 2pm (20 spaces available) *
If sessions you have chosen are full, or if you're not a Sidley resident, would you like to be on a waiting list for a space & possibly contacted at short notice to attend? *
Please remember it's winter. We will be indoors and outdoors. Please ensure your child is appropriately dressed for cold weather / outdoor clothing (warm coat and shoes, possibly beanie hat & gloves). If you need help with this, please let us know. *
Parent / Carer Agreement
I understand my child is expected to attend both days and Culture Shift & Heart of Sidley aren't able to offer the places to other children. Please let the team know if for any reason your child can’t attend on any day. We will email/text you the programme lead’s mobile phone number. Please circle yes or no for the following questions:
I give permission for my child to take part in our chosen Sidley Festive Fun holiday club 2021 activities and will ensure that they understand that it is important for their safety and for the safety of others that any rules and instructions given by the staff are adhered to. I understand that, while the staff in charge of the group will take all reasonable care of the children, they cannot be held responsible for any loss, damage or injury suffered by my child, unless they are negligent. I will make sure there is an emergency contact available during the programme and consent to emergency medical treatment in the event that activity staff are not able to make contact with us. *
Do you, and your child, give permission for photos to be taken of them? Please consider these may be used by Sidley Festive Fun holiday club 2021 activity providers and our partner East Sussex County Council for publicity, including social media, website & any other publicity. These will be kept for a maximum of 2 years (and can be deleted sooner if requested). *
Do you give permission for us to retain your information on our database? This allows us to keep you up to date with our latest news and upcoming courses. Your information will be stored securely & confidentially, and never shared with third parties. It will be kept until you ask us to remove it, which you can do at any time with a phone call or email. *
HAF (holiday activities & food) privacy statement
In order to administer the HAF programme in the winter it is necessary for us to process limited personal data about you and your child. We will only process the data we need to run the programme effectively, for example names, contact information and any medical details required to keep your child safe. We are also required to share limited personal data with East Sussex County Council, as the organisation commissioning the programme. This will be limited to name and DoB of your child and will be used to confirm their eligibility for free HAF provision. This data will only be retained for the duration of the winter programme and will be securely destroyed once the programme is over. For more information please refer to our full privacy notice.
Full Name - indicating signed in agreement of the above *
Date *
MM
/
DD
/
YYYY
Please complete & submit this form by Wednesday 1st December. Places will be allocated on a first come first served basis. There are on average 20 places for each activity. We will then confirm places with you by 10th December. After 12th December call Catherine (07796 306995) at Culture Shift or Tanya (07866 046106) at Heart of Sidley to see if there are still places or email hafsidley@gmail.com.
Personal information provided will be held and processed in accordance with the Data Protection Act 2018. For more information, you can request a copy of either Culture Shift’s Privacy Policy or Heart of Sidley's Privacy Policy, or download it from our websites at www.cultureshift.org.uk or www.heartofsidley.co.uk
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy