ZZZ APP ID 2361 (Terminated 19/11/20 Archived 08/12/2022 HB) - Alleyns School Enterprises Ltd

HOLIDAY CAMP
Please create an account to purchase our Holiday Camp. You must create one account per child you wish to book, multiple accounts can be merged once created.

Childs Details

One form to be filled out per Child.

Child's First Name^*

Child's Last Name^*

Date of Birth^*

School Attended^*

School Year^*

Additional Information

Medical Conditions^*

If yes, please specify or enter NONE...

Known Allergies^*

If yes, please specify or enter NONE...

Dietary Requirements^*

If yes, please specify or enter NONE...

Additional Needs^*

If yes, please specify or enter NONE...

Taking Medication

If taking medication, please specify the below,

Name of Medication

Dose of Medication

Timings of Medication

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

Please state if your Child is able to manage their own medication.

Parent/Guardian

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.

First Name^*

Last Name^*

Telephone

Mobile^*

Address^*

Postal code^*

Second Emergency Contact

First Name^*

Last Name^*

Telephone

Mobile^*

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 camp if present, we will need to dispose in accordance with the Alleyns School allergy policy. You must tick this box to confirm you agree to this policy

Marketing Preferences

Email
I do not wish to be contacted for marketing purposes

Alleyns School would like to keep in touch with you using the information you have provided here. Please select your preference

Print Name^*

Print name of the person filling out the form.

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

ZZZ APP ID 2361 (Terminated 19/11/20 Archived 08/12/2022 HB) may ask you to provide personal data on this form. This data is stored by WisePay on behalf of ZZZ APP ID 2361 (Terminated 19/11/20 Archived 08/12/2022 HB), to meet the legal obligations of a contract between WisePay and ZZZ APP ID 2361 (Terminated 19/11/20 Archived 08/12/2022 HB). You are required to give your consent that this data can be processed by ZZZ APP ID 2361 (Terminated 19/11/20 Archived 08/12/2022 HB).

Your Consent

I consent that this data can be processed by ZZZ APP ID 2361 (Terminated 19/11/20 Archived 08/12/2022 HB).

Please ensure all consent / agreement fields have been accepted.

Welcome to our Online Payment Area

Welcome to our Online Payment Area