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Haddenham Holiday Club Registration
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Youth Club name
*
— Select Club —
Haddenham Holiday Club
Parent / Guardian Name
*
First
Last
Parent Email
*
Parent mobile phone
*
We require a mobile number in the case of an emergency
Your town or village name
Child Parent Club
Child name
*
First
Last
Child date of birth
*
dd/mm/yyyy
Child (optional information)
Please provide important medical or allergy information
Days attending (one or both)
Wed 26th Aug (1:30pm – 4:30pm)
Thu 27th Aug (1:30pm-4:30pm)
Food preference (pick one)
Meat meal option (includes Halal)
Vegan meal option
Special diet option (add to other information)
Registration options
Photo permission for club
Video permission for club
Contact me by phone / text
Contact me by email
Other information
Please enter special diet requirements and other important information.
Submit
