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ACTIVATE SPRING INTO ACTION EASTER CAMP
REGISTRATION OF INTEREST
(minimum age 7)
LOCATION - BLACKLOW BROW PRIMARY SCHOOL

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To express your interest in a place on the Activate Body and Mind Easter camp due to take place at Blacklow Brow Primary School, please complete the enclosed expression of interest form in full.

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Expressions of interest are for those children aged 7 - 12 years

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Please note: this is not an application for a confirmed place. Once all expressions of interest have been received, we will be in a position to establish numbers and contact you with next steps.

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This form is only for children who are NOT eligible for benefit-related free school meals and who have NOT received a voucher code directly from their school.

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Register Interest Details - Please Complete all Fields

Is / Are your Child / Children eligible for benefit related free school meals? (Please Note: This is different to Universal Infant Free School Meals)

Select an option

Children in key stage 1 an still be eligible for benefit related free school meals if your household receives certain benefits. If you have not applied, you may be missing out on additional support and holiday activity eligibility. You do not need to wait until junior school to apply.

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Apply here:

https://www.gov.uk/apply-free-school-meals

Please select which days you are registering for, if registering for multiple days, please select all days that apply; Required
Activate Body and Mind takes photogreaphs/videos of children who attend our events/programmes to be used in our group plublicity (including our social media oages, website and any promotional material to support and promote future events and to help us continue to deliver free camps). Once we no longer need images for publicity purposes, we will delete them. Does Activate Body and Mind have

*Consent can be withdrawn at any time by emailing us at Info@activatebodyandmind.co.uk. If consent is withdrawn, we will delete the photograph or video and not distribute it further.

Informed Consent and Acknowledgement - I give permission for my child to participate in the above camp organised by Activate Body and Mind, including all the activities involved. I understand that although staff or leaders in charge of the project/activities will take all reasonable care of participants, they cannot be held responsible for any loss, damage or injury my child suffers as a result of the event.

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Consent to Emergency Medical Treatment - Activate Body and Mind will contact you before the commencement of any medical treatment, should this be necessary, unless your child's condition is such that immediate treatment is required before contact with you can be made. Please check the box below to confirm you authorise Activate Body and Mind to consent to any X-ray, examination, anaesthetic, diagnosis, treatment, and/or hospital care that may be recommended for your child/ren by a licensed physician.

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I understand that my child needs to follow the behaviour code and any safety rules so that Activate Body and Mind can keep them and other children safe.

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Please note that parents / guardians will be contacted to pick up their child / children before the end of the session should they use inappropriate language, or violence towards staff or other children.

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Please confirm you are accepting of the above information by acknowledging and signing below

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PARENT / GUARDIAN / CARER EMERGENCY CONTACT DETAILS
PHOTOGRAPH / IMAGES DISCLAIMER
MARKETING CONSENT

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