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Summer Scheme Online Registration Form

Summer Scheme Online Registration Form

The Scheme in Morecambe for Ages 12 to 16 year old will be based at Stanleys Youth and Community Centre. Get ready for an active summer of varied programme of activities including a pool and weekly football competitions.
 
Cost is £2 a day plus contributions towards some trips. Trips will include Blackpool Pleasure Beach, Blackpool Sandcastles, Bowling, Swimming, Ice Skating and Cinema. Please provide all the information on the form or it may cancel the registation.

Name of Child

Date of Birth of Child

Name of Parent/ Guardian

Contact Number

2nd Contact Number

Address

Post Code

What is the gender of your child?

Male
Female

Medical Conditions
Does the person suffer from any medical condition or allergy requiring treatment or medication whilst on the scheme?

What is your child swimming ability?


Please indicate how your child will leave the scheme to go home


Please provide details. For example who is going to pick them up


Any other relevant issues or information on your child we need to aware of?


 

 

Optional question ( To assist with monitoring purposes)

How would you describe your Child’s ethnic origin?

 

 

Please mark below the days you wish to book your child on

24th July
25th July

Cinema and Swimming

26th July
27th July

Football and Multi Sports at Lancaster Morecambe College

28th July

Trip to Climbing and Gravity at Salt Ayre

31st July
1st August

Bowling

2nd August
3rd August
4th August

Trip to Sandcastles, Blackpool

7th August
8th August

Cinema and Swimming

9th August
10th August

Football and Multi Sports at Lancaster Morecambe College

11th August

Trip to Ice Skating, Blackburn

14th August
15th August

Bowling

16th August
17th August
18th August

Trip to Blackpool Pleasure Beach

Parental Declaration 
I acknowledge the need for respectful and responsible behaviour by my child.. 

At times photographs may be taken of club activities please provide in writing if you do not wish your child to have their picture taken. 



By agreeing to attend young person may have access to the internet this will be supervised and also monitored using parental control software.

By submitting this registration and paying the due amount then you are giving consent for your child to be on the scheme. The first day of your child attendance we will require a signature to confirm you agree to a set of rules that will be outlined upon receipt of online form.

 

Parental Permission


By submitting this form you agree that your child can


  • Participate in organised activities at an approved venue.

  • Watch PG and 12A rated films

  • Have photos taken during participation in activities which may be used in reporting / publicity of the scheme or future schemes

  • Be administered with first aid by a qualified first aider should the need arise.

  • Attend the trips as part of the playscheme as outlined in the programme.

Please inform us on an issues in the any relevant issues or information box on anything that your child is not allowed to do.



 

Please provide your email to allow us to confirm receipt of registration form, then to keep you informed of your child's place and send you payment details. If you do not have an email we will contact you to discuss alternative arrangements.

 

E-mail



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Registered Office
 
Stanleys Youth and Community Centre
79-83 Stanley Road
Morecambe
LA3 1UT
01524 410076