Sickle Cell Society - November Activities 2018
Please sign up below for your child to take part in one (or more!) of our November activities. Please note that you will not need to stay with your child during most of the activities - there will be staff (Grace, Donna or Valerie) and volunteers to look after them:
Saturday 03rd November
Lazer tag and VR Party and Meal
1:00pm - 3:30pm
Stratford E20
12+
Saturday 10th November
Teenage Empowerment workshop
12:30pm - 3:00pm
Beckenham
Teenagers
Saturday 24th November
London Aquarium
1:00pm - 4:30pm
SE1
All
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Siblings are welcome but children with sickle cell disorder get priority - depending on the activity sibling places may be confirmed at last minute.
Please make sure to sign your child in with a staff member when they arrive at an activity and to pick your child up on time. If you need to cancel your child's place, it is important to let us know as soon as possible so we can let a child on the waiting list have their place.
Places aren't guaranteed until we have given you confirmation as we have a limited number of places for each activity - you may end up on a waiting list. You will also need to fill in an additional medical form if this is the first time that you have taken part in a Sickle Cell Society activity.
We totally understand that sometimes due to illness or other unforeseen circumstances you need to cancel your child's place at an activity. As lots of our activities have limited spaces, please do let us know as soon as possible (48 hours before) if this is the case so that we can offer their place to someone else. This also means that we can make sure that all of the funding we have been given to spend on activities for your children is used most effectively (e.g. not spent on places that aren't used).
We look forward to meeting you soon!
Any information given on this form is securely encrypted (as shown by the 'S' in the web address - https), confidential and covered by the Data Protection Act 1998. If you would prefer to use a paper form, please e-mail
grace.adejuwon@sicklecellsociety.org
and we will send one across.
* Required
Child's Full Name
*
Your answer
Child's Date of Birth
*
Your answer
Child's Age
*
6
7
8
9
10
11
12
13
14
15
16
17
Child's Gender
*
Male
Female
Prefer not to say
Link to Sickle Cell:
*
He/She has sickle cell
His/her brother or sister has sickle cell
His Mum or Dad has sickle cell
He/She has sickle cell trait
Required
(if not given before) Parent's Full Name
Your answer
Parent E-mail address
*
Your answer
Parent Telephone number:
*
Your answer
(if not given before) Home Address:
Your answer
Postcode:
*
Your answer
Hospital(s) your child attends:
*
Your answer
I would like to sign my child up for... (tick the box)
*
Lazer tag and Virtual Reality (3rd November) - E20 - 12+only
Teenage Empowerment workshop (10th November) - Canada Water - 13+
London Aquarium (24th November) - SE1 * All
Other:
Required
Does your child have any support needs? (e.g. a learning difficulty, unsteady on their feet, uses a wheelchair?) If yes, please give us more details so that we can provide the right level of support during the activity
*
Your answer
Does your child have any allergies or additional medical conditions we need to know about (e.g. asthma, severe allergies etc). If so, please tell us below.
Your answer
Do you have any ideas of activities we could run in the future? If so, please let us know below.
Your answer
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