HAF Camps – Armthorpe – Game Changed Network

Please select the dates you will be attending

Monday 27th July
Tuesday 28th July
Wednesday 29th July
Thursday 30th July
Monday 3rd August
Tuesday 4th August
Wednesday 5th August
Thursday 6th August
Monday 10th August
Tuesday 11th August
Wednesday 12th August
Thursday 13th August
Monday 24th August
Tuesday 25th August

Child's Full Name

Child's Date of Birth

Child's Gender

Male
Female
Other

Child's Address including Post Code

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Which school does your child attend?

Parent/Guardian Full Name

Child's allow for

Relationship to Child

Parent/Guardian Telephone No.

Parent/Guardian Email Address

2nd Emergency Contact Name

2nd Emergency Contact Telephone No.

Relationship to participant

Does your child have any allergies?

Yes
No

Does your child have any dietary requirements?

Yes
No

Does your child have SEND?

Yes
No

Does your child have a disability?

Yes
No

Does your child have a medical condition?

Yes
No

Please tick the boxes below if any are relevant to your child

Will they need medication whilst in our care
Do they carry emergency medication
Previous injuries we need to be aware of
Mental health considerations
Any additional support required

If you ticked any of the above boxes please provide details below.

Is there anything else you would like to inform us about your child? Please provide details below.

I give full consent for the participant named on this form to fully participate in this programme.

Yes
No

Please confirm your consent for photographs and film footage to be taken and used for social media and promotional purposes.

Yes
No

Unless you tell us otherwise, we will allow your child to leave with the adult which collects them. We will not allow your child to leave unattended unless you inform us beforehand.

Yes
No

Unique Code received from Doncaster Council Benefits Team (optional)

Optional section for you to provide further information

Holiday Activities & Food Programme – Summer 2026

Southfield Primary School, Tranmoor Lane, Armthorpe, Doncaster, DN3 3BN

Summer HAF Camp – Child and Parent/Guardian Consent Form

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