JANUARY 2025 Holiday Activities and Food - Special Educational Needs & Disabilities (SEND) and Mainstream Provision

Here you can register for your child or children's place on the HAF Programme at the Woodland Adventure Zone, please note, places are allocated on a first-come first-served basis.

If you are registering more than one child's place, please complete a separate booking form for each child.

Please note - completing this form does not guarantee a place, the Woodland Adventure Zone team will contact you once you submit this form to confirm if your chosen places are available.

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* 1. Does your child have an Education, Health and Care Plan (EHCP)? Please note, we can support children with and without an EHCP.

Yes

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* 2. Does your child require any additional support? If so, please provide details.

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* 3. Please enter your HAF number

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* 4. Child's Full Name

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* 5. Child's Age (This programme is available for children aged 5-16)

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* 6. Child's School

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* 7. Child's Home Address

Address *

Address 2

City/Town *

ZIP/Postal Code *

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* 8. Does your child have any access requirements? If so, please specify here.

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* 9. Does your child have any special dietary requirements? If so, please specify here.

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* 10. Does your child have any medical needs that we need to be aware of? If so, please specify them here, including details of all medication they take.

Please note, we are unable to administer controlled medication ourselves, therefore, if your child takes controlled medication or you have any other queries about their medical needs, please contact our team for advice on 01623 499159.

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* 11. Parent / Carer Full Name

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* 12. Parent / Carer Mobile Number

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* 13. Parent / Carer Address

Address *

Address 2

City/Town *

ZIP/Postal Code *

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* 14. Parent / Carer Email Address

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* 15. What date / dates would you like to book a place for your child? You can register for as many dates as you would like, subject to availability.

Thursday 2nd January 2025, 9am - 3pm

Friday 3rd January 2025, 9am - 3pm

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* 16. Do you consent to your child appearing in photo or video footage that could be used for promoting the HAF Programme or the Woodland Adventure Zone?

Yes

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* 17. Would you like to sign up to the Portland Charity e-mail newsletter to hear about Portland and Woodland Adventure Zone news?

GDPR - Your data will be used and stored in line with UK GDPR regulations. We will never share your data with anyone outside of our organisation. We will only use this data to contact you to fulfil your registration, or to send you our e-newsletter if you opt in to receive it.

Yes

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* 18. Are you going to be registering another child / children? If so, please tell us their full name here, so we can keep an eye out for their booking form. Please note, you will still need to complete a separate booking form for them and any other children, we recommend you do this straight away as places go quickly.