HOLIDAY PLAY SCHEME BOOKING FORM Please remember that parents/carers can only book a place for their own child/children. Parents/carers are not guaranteed a place until they have been specifically contacted and notified. Date (DD/MM/YY): Time (HH/MM): YOUR DETAILS Title (please circle): Miss Mr Mrs Ms Other (please specify): First name: Last name: Address: Post code: Home telephone: E-mail: Relationship to child/children: Ethnicity* (Please circle): White British Greek Cypriot Mixed White and Other Black Asian African African White Irish Turkish Mixed Other Any other Black Latin/South/Central background White Irish Turkish Cypriot Black Caribbean Indian Kurdish Traveller Western Kosovan Nigerian Pakistani Prefer not to say Europe White Eastern Somali Bangladeshi Other (please Europe specify): Other Mixed White and Sierra Leonian Chinese Black African Greek Mixed White and Ghanaian Vietnamese Caribbean Borough (please circle): Lambeth Southwark
HOLIDAY PLAY SCHEME BOOKING FORM Please remember that parents/carers can only book a place for their own child/children. Parents/carers are not guaranteed a place until they have been specifically contacted and notified. Date (DD/MM/YY): Time (HH/MM): YOUR DETAILS Title (please circle): Miss Mr Mrs Ms Other (please specify): First name: Last name: Address: Post code: Home telephone: E-mail: Relationship to child/children: Ethnicity* (Please circle): White British Greek Cypriot Mixed White and African Other Black African Asian White Irish Turkish Mixed Other Any other Black background Latin/South/Central White Irish Traveller Turkish Cypriot Black Caribbean Indian Kurdish Western Europe Kosovan Nigerian Pakistani Prefer not to say White Eastern Europe Somali Bangladeshi Other (please specify): Other Mixed White and Black African Sierra Leonian Chinese Greek Mixed White and Caribbean Ghanaian Vietnamese Borough (please circle): Lambeth Southwark
2017-03-27-HOLIDAY-PLAY-SCHEME-BOOKING-FORM.docx