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BACE Holidays Interest form

BACE Holidays - Register Your Interest Form

To register your child / young person’s interest in the Summer BACE Holidays Programme taking place between the 26 July & 20 August 2021, please complete the form below.

Please note that you will need to be eligible to access this programme. Eligibility: Child / young person is currently in receipt of free school meals. Places are limited.

Parent / Carer First name* Required

Parent / Carer Last name* Required

Parent/Carer Email * Required

I would like my child/young person to attend the following weeks:

Week 1 - 27 July - 30 July 2021 - 10:30 - 14:30

Week 2 - 02 Aug - 06 Aug 2021 - 10:30 - 14:30

Week 3 - 09 Aug - 13 Aug 2021 - 10:30 - 14:30

Week 4 - 16 Aug - 20 Aug 2021 - 10:30 - 14:30

I would like the option of my child / young person attending early drop off and late pick up from 9:30-10:30 & 14:30-15:30 each day:

Yes

Is your child/ren currently receiving Free School Meals?*

Yes

Required

Do you have computer / internet access at home to be able to take part in online activities?*

Yes

Required

Do you have compatible device to access Zoom i.e.: Laptop, Tablet, Phone, PlayStation 4 and 5, Xbox and or Smart TV?*

Yes

Required

Child 1

Child’s First Name? * Required

Child’s Surname? * Required

What is the child’s date of birth? * Required

What school do they go to? * Required

Does your child have a disability and / or Autism

Yes

If Yes, please give details here:

Child 2

Child’s First Name?

Child’s Surname?

What is the child’s date of birth?

What school do they go to?

Does your child have a disability and / or Autism

Yes

If Yes, please give details here:

Child 3

Child’s First Name?

Child’s Surname?

What is the child’s date of birth?

What school do they go to?

Does your child have a disability and / or Autism

Yes

If Yes, please give details here:

Error

Contact

If you have any questions or

queries about the service then

please call us on 020 8359 3100

Address

Canada Villa Youth Centre
Pursley Road
London NW7 2BU

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Canada Villa Youth Centre
Pursley Road
London
NW7 2BU