COSMIC CAPERS
HOLIDAY CLUB

5…..4…..3…..2…..1…..BLAST OFF!

Fancy taking one small step but one giant leap into a space adventure?  If you are now in Years 3-6, then this is your chance of a life time.

Games, drama, craft, alien mess,
 magic and much more..

You are invited to my holiday club which will be out of this world. The mission takes place from Monday 18th to Friday 22nd August in St. George’s Church Hall, Halliwell Street
from 10am – 12:30pm

Please return the form attached to school by Friday 11th July.
For further information please contact Jenny  on 01257 - 277775

IMPORTANT INFORMATION
Will your child need to take any medication during day?
Yes /No.  If yes please give details:

Does your child have any medical condition which needs to be taken into consideration when he / she takes part in physical activities?
Yes/ No. If yes please give details:

Is your child allergic to anything? 
Yes / No .  If yes please give details.                                                                                                                                

In the unlikely event of my child needing urgent medical attention and I, or the emergency contact cannot be reached – I give my permission for the necessary medical treatment to be performed by medical staff.  I also give my assurance that my child’s behaviour whilst participating in the holiday club will be suitable to ensure that he/she and others have a safe and enjoyable week.  I also give permission for photographs of my child to be taken for Church publicity.

Signed:           _________________________(parent/guardian)

Date:              ___________

* Return by Friday 11th July in the silver box.
All part MUST be completed.

Child’s Full Name:
(in capitals)
School:

Male / Female:                          Age:

Home Address:

Present School Year:                 Date of Birth:

PARENT / GUARDIAN INFORMATION

Tel No:                          Mobile:

e-mail address:                                                    
        
* At least one of the above is essential to confirm your place before the event.

Emergency Contact (other than above)

Name:                                       Relationship to child:

Tel No:                           Mobile:

Address:

USEFUL INFORMATION

1. All our helpers will be CRB cleared.
2. Numbers are limited so places are on a first come first served basis.
3. Please note that at least one of our helpers will have a First Aid Certificate.
4. The form attached must be completed IN FULL.
5. Return forms to school OR to your church and place in the silver box by FRIDAY 11th July.
6. You will have your place confirmed by e-mail / text / phone before 1st August.

Please keep this part of the leaflet for your information before returning form attached.

Any queries, please contact Jenny on
01257 - 277775