Form cover
Page 1 of 1

ULFC- Registration form - Easter Holiday Club

Please enter your childs name

Please enter your childs DOB

Please enter Parent/Guardian Name

Please enter Parent/Guardian Phone Number

Please enter Parent/Guardian Email Address

Please enter the dates you wish to sign your child up for (you can select multiple dates at once)

Please enter the dates you wish to sign your child up for (you can select multiple dates at once)

Do you consent for Photos/Videos to be taken of your child (For use on Social Media/Club Advertisements, match footage etc)

Do you consent for Photos/Videos to be taken of your child (For use on Social Media/Club Advertisements, match footage etc)
A
B

Please enter any relevant Medical Information for your child, including any allergy information If N/A, leave blank

If you would like to register any more children, please list their name, DOB and any relevant info below

Declaration

Our holiday club will run from 9 am to 3 pm at Lighthorne Heath Village Hall and Lighthorne Heath Playing Fields. You cannot drop off your child before 9 am, and please ensure you are at the village hall promptly for the 3 pm finish.
Please ensure you bring a lunch for your child and a water bottle.
Once you click Submit, you'll be redirected to a page to complete payments