Norwich School - Norwich School

EXTERNAL ACCOUNT CREATION FORM
Please complete the form in order to purchase from our Holiday Activities. If your child already attends Norwich School, please login to your account. If you have more than one child who wishes to attend the Holiday Activities, please complete a form per child.

Childs Details

Childs First Name:^*

Childs Last Name:^*

Gender:^*

Date of Birth:^*

Address Line 1:^*

Address Line 2:

City:^*

County:^*

Postcode:^*

Daytime Telephone:^*

(Emergency contact 1)

Daytime Telephone 2:^*

(Emergency Contact 2)

Name of Present School:

(If child does not attend Norwich School)

Year Group:^*

Medical Information

I can confirm my child is medical fit to take part in all activities.

Yes

Does your child carry an inhaler or Epi Pen?

Yes
No

Please state any medical conditions or allergies we need to be aware of:

Activity Booking Information

Activity bookings can be purchased at 150.00 for 3 days and 200.00 for 5 days.

Please note, all monies paid will be non-refundable. Change of dates may be offered.

Booking Options:

Declaration

I confirm my child will be sent in with a packed lunch and any drinks or snacks for the day.

Yes

I confirm my child will be collected at 4.00pm and only earlier by prior arrangement.

Yes I accept.

Details of the person completing this form

Parent or Guardian First Name:^*

Parent or Guardian Last Name:^*

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.

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

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

Your Consent

I consent that this data can be processed by Norwich School .

Please ensure all consent / agreement fields have been accepted.

Welcome to our Online Payment Area

Welcome to our Online Payment Area