Holiday Camp - Child Record Form
Children's Activity Centre
HOME  ABOUT US  CONTACT US

Holiday Camp bookings are now being taken for
the Autumn Break 27th - 31st October 2008
A less structured alternative to holiday childcare

Child's Details————————————————--————

*Child's Name:
*Date of Birth:

Parent's Details————————————————————

*Mother's Name:
*Mother's Email:
Mother's Work No:
Mother's Mobile No:
Father's Name:
Father's Email:
Father's Work No:
Father's Mobile No:
*Home Tel No:
*Home Address:
*Unique Password:

Doctor's Details————————————————————

*Doctor's Name:
*Surgery Name:
*Tel No:

Emergency Contact's Details————————-————

*Contact: (1)
*Home Tel No:
Mobile Tel No:
*Relationship to Child:
*Contact: (2)
*Home Tel No:
Mobile Tel No:
*Relationship to Child:

Medical History————————————————————

Has your child been fully immunised against:

*Diphtheria
*Whooping Cough
*Tetanus
*Polio
*Measles
*Mumps
*Rubella
*Hib Meningitis
*Has your child had Chickenpox:

Important Information————————————————

Does your child have any:

*Allergies:
*Special Diet:
*Health Problems:
*Childhood Illnesses:
*Medical Conditions:
*Any other important information:
If the answer to any of the above was yes, please give details:
Please state religion if applicable:

Please disclose any other information about your child that may be useful for us to know:

Submit Information——————————————-———

   

 

Holiday Camp Activity Program Meal Plan Fees Book a Place Child Record Form Feedback Other Clubs
Occasionally, we plan outings to local parks and places of interest. This summer we visited Windsor Castle then stopped off for a picnic, before cooling off at the water park.
At Village End children will have plenty of chance to exercise. Exercise helps develop social skills such as sharing, taking turns, cooperating and learning about winning and losing. It also helps develop physical skills such as running, eye-hand coordination and ball skills. And it offers children a sense of belonging as they do things with other children, either in casual or organised activities.
***Please note: Due to a fault with our ISP servers we are unable to receive forms or emails today. Please use village-end@btconnect.com to bypass fault!***