Pershore Riverside Summer Programme 2025 – EARLY ENQUIRY FORM

Please fill out the form below if you are interested in bringing your child to our Summer Holiday activities 2025. We will use your details to get in touch closer to the time to ensure your child can gain a place. By completing this form, it will help us gather an idea of more information to help design our full programme. *This is NOT confirmation of your child’s place*

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Child's Name *

First

Last

Child's Age *

3. Parent/Guardians name *

First

Last

Parent/Guardians Email *

Parent/Guardians Mobile number *

you requirements? or

Does your child have any Special Educational needs or disabilities?

Please tick all weeks that you are looking to book your child on to the program: *

• Week 1 – 28th July, 29th July, 30th July, 31st July, 1st August
• Week 2 – 4th August, 5th August, 6th August, 7th August, 8th August
• Week 3 – 11th August, 12th August, 13th August, 14th August, 15th August
• Week 4 – 18th August, 19th August, 20th August, 21st August, 22nd August
• Week 5 – 25th August, 26th August, 27th August, 28th August, 29th August

What would you prefer your child to attend: *

• Half Day (up until 12pm)
• Full Day (up until approx. 4pm)
• Both, a mixture

Does your child have any dietary requirements?

GDPR Agreement *

• I consent to having this website store my submitted information so they can respond to my inquiry.

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