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Collinwood Road Church Summer Holiday Club Booking Form 2026

Thank you for your interest in the "GO FOR GOLD!" Summer Holiday Club based at Collinwood Road Church, Risinghurst, Oxford. The Holiday Club is taking place on 11th, 12th and 13th of August from 10:00am to 3:00pm. The Holiday Club is for children aged between 5 and 11 years. All children will be required to bring a packed lunch each day. The Holiday Club will be led by members and friends of Collinwood Road Church. It will include telling stories from the Bible, worship and prayer as well as arts & crafts and fun games and activities.
Places are strictly limited and children who are able to attend all 3 days of the Holiday Club will be prioritised. If you have more than one child who would like to attend, please complete a booking form for each child. The cost of the Holiday Club is £20 total for all 3 days or £7 per day (family discounts are available). We will send you details on how to make the payment once we have confirmed your child/wards place on the Holiday Club. We look forward to welcoming your child/ward at the Holiday Club and "going for gold" together!

Full name of child?

Sex of the child?

Sex of the child?
A
B
C

Date of birth of the child?

Age of child in years?

Address?

Please select the day/s that the child would like to attend the holiday club (choose all that apply)

Please select the day/s that the child would like to attend the holiday club (choose all that apply)

Full name of parent/guardian?

Contact number for parent/guardian?

Full name of a second parent/guardian (in case of emergency)?

Contact number for second parent/guardian (in case of emergency)?

Email address (we will use this to confirm your child/wards place and to send information about the holiday club)

Full name of person who will collect the child at the end of each day?

Contact number for person who will collect the child at the end of each day?

Does the child have any medical conditions, health problems, allergies, special educational needs etc. that we need to be aware of?

Does the child have any medical conditions, health problems, allergies, special educational needs etc. that we need to be aware of?
A
B

If yes, please provide details below

Any medication currently being taken by the child?

Does the child have any special dietary requirements?

Does the child have any special dietary requirements?
A
B

If yes, please provide details below

Full name of child's doctor?

Name of doctor's surgery?

Phone number for doctor's surgery?

Address of doctor's surgery?

Photographs: Photographs may be taken during the Holiday Club and these may be used in our publicity. Photographs will usually be of groups, not individual children, to show the kind of activities on offer. However, we will only use photographs for publicity where explicit consent has been given by the parent or guardian by selecting the "yes" box below. Wherever possible we will also send the parent or guardian a copy of the photo in advance before using it.

I confirm that I am happy for photographs of my child/ward to be used in publicity material

I confirm that I am happy for photographs of my child/ward to be used in publicity material
A
B

Medical attention: By selecting "Yes" below, you give permission for:

Necessary medical treatment to be given by a nominated first-aider

In emergency I am willing for my child to receive hospital treatment, including anaesthetic if necessary

I understand that the holiday club team will endeavour to contact me as soon as possible on the phone numbers given previously

Medical attention: By selecting "Yes" below, you give permission for:Necessary medical treatment to be given by a nominated first-aiderIn emergency I am willing for my child to receive hospital treatment, including anaesthetic if necessaryI understand that the holiday club team will endeavour to contact me as soon as possible on the phone numbers given previously
A
B

Christian content: By selecting "I acknowledge that the holiday club includes Christian content " below you agree that you have understood the following

I have understood that the holiday club is provided by the Church, and that activities will include telling stories from the Bible, worship, singing songs with Christian content and praying together as a group. I give permission for my child/ward to take part in these activities.

Christian content: By selecting "I acknowledge that the holiday club includes Christian content " below you agree that you have understood the followingI have understood that the holiday club is provided by the Church, and that activities will include telling stories from the Bible, worship, singing songs with Christian content and praying together as a group. I give permission for my child/ward to take part in these activities.
A

Data and privacy: The information provided on this booking form will be used only for the purposes of booking and administration for the Holiday Club. The names of children attending the holiday club will be retained as part of our safeguarding record keeping. In addition, the names and contact details of families participating or applying for this year’s Holiday Club will be retained so that we can notify you about next year’s Holiday Club. However, we would also like to be able to inform you about other children’s activities or other events at Collinwood Road Church.

Are you happy for Collinwood Road Church to use your contact details to inform you about other children's activities or events?

Data and privacy: The information provided on this booking form will be used only for the purposes of booking and administration for the Holiday Club. The names of children attending the holiday club will be retained as part of our safeguarding record keeping. In addition, the names and contact details of families participating or applying for this year’s Holiday Club will be retained so that we can notify you about next year’s Holiday Club. However, we would also like to be able to inform you about other children’s activities or other events at Collinwood Road Church.Are you happy for Collinwood Road Church to use your contact details to inform you about other children's activities or events?
A
B

I give consent for my child/ward to attend and take part in the "Go for Gold" Summer Holiday Club. I acknowledge the need for them to behave responsibly, treat the adults leading the activities and the other children attending with kindness and respect, and for them to take note of any safety instructions given. I understand that while involved they will be under the care and supervision of the approved adult workers appointed by the church. While these workers will take all reasonable care of the participants, they cannot necessarily be held responsible for any loss, damage or injury suffered during, or as a result of, the activity.

I give consent for my child/ward to attend and take part in the "Go for Gold" Summer Holiday Club. I acknowledge the need for them to behave responsibly, treat the adults leading the activities and the other children attending with kindness and respect, and for them to take note of any safety instructions given. I understand that while involved they will be under the care and supervision of the approved adult workers appointed by the church. While these workers will take all reasonable care of the participants, they cannot necessarily be held responsible for any loss, damage or injury suffered during, or as a result of, the activity.
A
B
Thank you for completing this booking form. Please select "Submit" below to submit this information. We will be in touch shortly to confirm your child/wards place on the Collinwood Road Church Summer Holiday Club 2026!