Whitgift School - Whitgift School

EXTERNAL ACCOUNT CREATION FORM
Please create to purchase our holiday Camp. You must create one account per child you wish to book for, multiple accounts can be merged once created.

Child's 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 N/A

Known allergies:^*

If Yes, please specify or enter N/A

Dietary Requirements:^*

If Yes, please specify or enter N/A

Additional Needs:^*

If Yes, please specify or enter N/A

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.

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.

First Name:^*

Last Name:^*

Telephone:^*

Mobile:^*

Address Line 1:^*

Address Line 2:^*

City:^*

County:^*

Postcode:^*

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. You MST tick this box to confirm you agree to this policy.

Marketing Preferences

Email
I do not wish to be contacted for Marketing Purposes.

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

Print Name:^*

This challenge is to prevent automated systems from using this feature maliciously.
Load New Code

Protection of Personal Data and GDPR legislation

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

Your Consent

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

Please ensure all consent / agreement fields have been accepted.

Welcome to our Online Payment Area

Welcome to our Online Payment Area