Summer Club Book Online (Duplicate)

Dates and Prices

Monday 21 July – Friday 15 August 2025

Week 1: Monday 21 July – Friday 25 July

Week 2: Monday 28 July – Friday 1 August

Week 3: Monday 4 August – Friday 8 August

Week 4: Monday 11 August – Friday 15 August

Pricing Standard Day

Weekly bookings: £262.50 per week per child (standard day 8.30am - 4.30pm)

Daily bookings: £57.50 per day per child (standard day 8.30am - 4.30pm)

Pricing Long Day

There is a Long Day option, which will run from 8.00am until 6.00pm for an additional £16 per child per day.

We are pleased to accept Childcare Vouchers as a form of payment. If you wish to use Childcare Vouchers, please contact summerclub@stbenedicts.org.uk to make an offline payment.

Child Information

Number of Children to Attend* Child Name (1)* Child Age (1)* Child's School (1)* Child's Interests (1)*

Please select the days you wish for your child to attend each week

Child Name (2) Child Age (2) Child's School (2) Child's Interests (2) Child Name (3) Child Age (3) Child's School (3) Child's Interests (3) Child Name (4) Child Age (4) Child's School (4) Child's Interests (4)

Please select the days you wish for your child to attend each week

Parent or Guardian Name* Parent or Guardian Address* Parent or Guardian Telephone Number* Parent or Guardian Email Address* Additional Messages to St Benedict's Summer Club Team

Long Day additional cost:

Long Days run from 8.00am until 6.00pm for an additional £16 per child per day.

Please indicate the total number of long days (for all children attending).

For example if you have 2 children doing 2 long days it would be a total of 4 long days.

Long Day dates

Medical & Contact

Medical & Contact (1)

Dear Parents,

Please complete this form carefully, filling out all the details and ensuring that it is signed. Please inform the Club Co-ordinator of any changes regarding medical issues or contact details.

Child's Name (1)* Does he/she have a mobile phone? If yes, please list the number here (1)

Medical History (1)

Please give details of any medical conditions your son(s)/daughter(s) suffers from and if he/she has any allergies (1) Please give details of any medication your son(s)/daughter(s) takes (1) Please give details of any past medical history that is relevant (1)

Medical & Contact (2)

Child's Name (2) Does he/she have a mobile phone? If yes, please list the number here (2)

Medical History (2)

Please give details of any medical conditions your son(s)/daughter(s) suffers from and if he/she has any allergies (2) Please give details of any medication your son(s)/daughter(s) takes (2) Please give details of any past medical history that is relevant (2)

Medical & Contact (3)

Child's Name (3) Does he/she have a mobile phone? If yes, please list the number here (3)

Medical History (3)

Please give details of any medical conditions your son(s)/daughter(s) suffers from and if he/she has any allergies (3) Please give details of any medication your son(s)/daughter(s) takes (3) Please give details of any past medical history that is relevant (3)

Medical & Contact (4)

Child's Name (4) Does he/she have a mobile phone? If yes, please list the number here (4)

Medical History (4)

Please give details of any medical conditions your son(s)/daughter(s) suffers from and if he/she has any allergies (4) Please give details of any medication your son(s)/daughter(s) takes (4) Please give details of any past medical history that is relevant (4)

Consent

In the unlikely event of an accident or emergency, the summer club staff will do everything possible to contact you as soon as possible. However, as your child will be partaking in physical activities, we are required to seek your consent to act 'in loco parentis'. This means you must give your permission for your son/daughter to receive any emergency medical treatment deemed necessary by the staff or on the advice of medical authorities.

Consent (1)

Name of Child (1)* Date of birth (1)* Name of Parents (1)*

Consent (2)

Name of Child (2) Date of birth (2) Name of Parents (2)

Consent (3)

Name of Child (3) Date of birth (3) Name of Parents (1)

Consent (4)

Name of Child (4) Date of birth (4) Name of Parents (4) Home Telephone Number* Work Telephone Number* Mobile Telephone Number*

I would like to receive electronic communications from St Benedict’s informing me of any future activity clubs and other related products or services*YesNo

I give permission for St Benedict’s to take photographs of my child(ren) and for these images to be used for marketing purposes in the future.*YesNo

If you answered 'other' to the question above, please state where you heard about the Summer Club

I give my consent for the staff St Benedict's School to act 'in loco parentis'. I give my permission for my son/daughter to receive any emergency medical treatment deemed necessary by the staff or the local medical authorities.

Signature* Date*