I Like to Be in America
St Matthew's Holiday Club 2024

When: Tuesday 9th - Friday 12th April
Time: 9am - 3pm
Cost: £40 per child (£30 for part of week) with £10 off per sibling includes all snacks, lunches, crafts, t-shirt etc. (Financial support is available.) 
Booking: Please complete a separate form below for each child.
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Full Name *
Known as (if different)
Date of Birth *
MM
/
DD
/
YYYY
Current School Year *
Full Address *
Parent / Carer’s Name *
Parent / Carer’s Phone Number *
Parent / Carer's Email Address *
Alternative Contact's Name
Alternative Contact’s Phone Number

Names of anyone else who has permission to collect your child

Does your child have any additional needs? *
Required
If yes please describe 
Does your child have any food or other allergies / medical conditions?
*
Required
If so, please give details
Dietary Requirements

I am aware that games and activities will be played (indoors and in the vicarage garden) and give my permission for my child to receive any required medical attention on site. 

*
Required
I also authorise professional medical treatment if is deemed necessary, provided an attempt is also made to contact me.
*
Required
I give permission for photos and videos in which my child may be identified to be used by St Matthew’s Church for use on its website and in its printed publicity (no names will be included).
*
Required
I note that the price of this year's Holiday Club is: £40 per child (£30 for part of week) with £10 off per sibling (includes all snacks, lunches, crafts, t-shirt etc.), and I commit to making full payment within two weeks of submitting this form.

If no, please explain why paying this amount would be difficult for you, so that we can get in touch to discuss financial assistance:

The church bank details are:
Account Name: St Matthews PCC Elburton
Account Number: 43387674
Sort Code: 09-01-29

Please use reference ‘Holiday Club 2024’

Please note that all adults working with young people are required to have a valid DBS, and that St Matthew’s takes the well-being of all people very seriously.

Please type your name to confirm the information submitted above is correct. We will be in touch to confirm your booking! *
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