Holiday Club Teen helper Registration Form 2019

space academy logo mediumHi Parent / Grandparent of a teenage helper!

Please can you fill out the from below for your teenager(s) who is helping at this years Holiday Club. 
Unless we hear otherwise we will assume you're happy for them to make their own way to and from Holiday Club.
If there is any other information you think we should have, please send it by email.

Best wishes

Melanie and Sarah

Child's First Name: 

Child's Surname: 

Child's Date of Birth: 

Any Special Needs?:   e.g. allergies, conditions, medications

(If yes, please specify): 


Parent's Name: 







Email Address: 



Melanie Shields, 05/06/2019