Photographs may be taken to document the holiday scheme and these could be used for future publicity purposes.  If you do not want your child to be included in any photographs, please tick here:

Child's Name

Date of Birth

Child Address

Postcode

Telephone

Does your child have any medical issues or allergies we should be aware of?

Contact Name

Relationship To Child

Address

Day Telephone

Mobile

E-mail Address

In Case of Emergency Please Contact: