Manchester Half Term Shceme
Email Address *
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Parent Name *
Your answer
Child Name *
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Child School year *
Required
Location *
Where will your child be coming from to the Half Term Scheme. Transport will be arranged from north manchester.
Date of Birth *
MM
/
DD
/
YYYY
Parent Mobile Number *
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Tetanus *
Allergies *
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Please notify us of any medical conditions (Physical, mental, dental, optical or other). *
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Other (social) - please specify *
In order to ensure you have the best possible experience please let us know if you have any specific needs that we should keep in mind while caring for you. E.g. dyslexia, mild attention disorders, emotional sensitivity to specific situations (You should repeat any information given above under 'Medical Conditions' as relevant).
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Dietary Requirements *
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