Royal Russell School - Royal Russell School

EXTERNAL ACCOUNT CREATION FORM
Please create an account to make a booking for our Holiday Club. You must create one account per child you wish to book, multiple accounts can be merged once created. Please DO NOT create an account if you are an existing Royal Russell Parent/Carer.

Childs Details

One form to be filled out per child.

Childs First Name:^*

Childs Last Name:^*

Date of Birth:^*

School Attended:^*

Additional Information

Medical Conditions:^*

If yes, please specify or enter None applicable

Known Allergies:^*

If yes, please specify or enter None applicable

Dietary Requirements:^*

If yes, please specify or enter None applicable

Additional Needs:^*

If yes, please specify or enter None applicable

Taking Medication

If taking medication, please specify the below.

Name of Medication and Administering Instructions:

Medication must be given to staff on arrival with the childs name clearly labelled together with instructions.

Please confirm you give permission for RRHC staff to administer given medication:

Yes
No

Parent/Guardian Details

Email Address^*

This will be your username and will be required when you log in to Wisepay.

Confirm Email Address^*

Please confirm your email address to ensure it has been entered correctly.

Password

##########

WisePay will automatically generate a strong password when this form is submitted. You will be sent an email to the email address entered above containing your log in credentials.

Password

WisePay will automatically generate a strong password when this form is submitted. You will be sent an email to the email address entered above containing your log in credentials.

First Name:^*

Last Name:^*

Mobile:^*

Work Telephone:

Address:^*

Postcode:^*

Second Emergency Contact

First Name:^*

Last Name:^*

Mobile:^*

Work/Telephone:

No Nut Policy:

Yes, I accept

No Nuts or SESAME or COCONUT PRODUCTS we must stress that children must NOT bring items containing nuts, coconut or sesame products to holiday club. You MUST tick this box to confirm you agree to this policy.

Photographic permission

Do not include in photography/video

Please select if you do not wish for your child to be included in photography/video for social media and marketing purposes.

I consent that this data can be processed by Royal Russell School

Yes, I accept

Please ensure all consent and agreement fields have been accepted.

This challenge is to prevent automated systems from using this feature maliciously.
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Protection of Personal Data and GDPR legislation

Royal Russell School may ask you to provide personal data on this form. This data is stored by WisePay on behalf of Royal Russell School, to meet the legal obligations of a contract between WisePay and Royal Russell School. You are required to give your consent that this data can be processed by Royal Russell School.

Your Consent

I consent that this data can be processed by Royal Russell School.

Please ensure all consent / agreement fields have been accepted.

Welcome to our Online Payment Area

Welcome to our Online Payment Area