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Our "Spy Academy" Holiday Club 2017 will be held at Harwell School from Monday 14th to Friday 18th August 2016, 9am-3pm. It is five fun days of FREE sport, craft, music and Bible teaching at Harwell School. It is for children going into yrs 1-9 in September, with an adapted programme for older children.

You can register your child for Holiday Club NOW using the form below.

Please note that Holiday Club is a popular week and is regularly over-subscribed. In that event, we will prioritise places for our volunteers & church members, followed by those living within the parishes of Harwell and Chilton up until 31st May. (Click here to find out if you live within the parish). Children not meeting these criteria will be added to a waiting list for places.  These will be allocated on a 'first come, first served' basis from the 1st June onwards.

If you would like your child to attend the week, please complete the form below (a separate form for each child if you have more than one). And remember to click the 'Send' button once complete. If your submission has been logged, an acknowledgement message will then appear.
 

Child's Firstname: 

Child's Surname: 

Child's Date of Birth: 

 (Date)
   (Month)
   (Year)
Any Special Needs?:   e.g. allergies or conditions 

(If yes, please specify): 

School Attended: 
 
  • I give my consent for my child to swim under the supervision of a qualified lifeguard 
  • I give my consent for my child to be photographed during Holiday Club and for photos to be used on the church website & social media pages, and in projected & printed material, e.g. church annual report 
  • I give my consent that in the event of illness or accident any appropriate first aid may be given to my child by the nominated first aider. In an emergency, if I cannot be contacted, I consent to my child being given hospital treatment including anaesthetic if necessary. I understand that every effort will be made to contact me as soon as possible. 
  • I give my consent for my child to go home unaccompanied after Holiday Club each day    If "No", please provide a Collection Phrase/Password (we will release your child to an adult who can provide this phrase/password): 
 

Parent's Name: 

Address: 

 

Town: 

Postcode: 

Telephone: 

Mobile: 

Email Address: