HAF BOOKING FORM

Please select your venue*
---Aston Leisure CentreMaltby Leisure CentreNew York Stadium, E-GAMER

Select the week you would like to attend* (you must be available to attend all days):

Monday 20th December - Thursday 23rd December, 10am-2pm

Child full name*

Gender*
FemaleMaleOtherPrefer Not To Say

If you have selected other, please specify*

Child date of birth*

Child ethnicity*

School Name*

Please enter the unique reference number (URN) provided by your child's school to access your free place*
(Your place will NOT be confirmed until an accurate URN is provided)

_____

Parent name*

House number & street*

Address line 1*

Town/City*

Postcode*

Parent contact number*

Parent Email*

Emergency contact name*

Emergency contact number*

Does your child have any disabilities*
YesNo

If yes, please provide further details

Does your child have any food allergies/dietary requirements*
YesNo

If yes, please provide further details

Please select your child's meal option(s) below;

Monday (Served with Garlic bread, peas & Sweetcorn and Flapjack)
---Pasta BolognaiseQuorn Pasta Bolognaise

Tuesday (Served with Creamed Potatoes, Peas & Carrots and Oaty Biscuit)
---Cottage PieQuorn Cottage Pie

Wednesday (Served with Potato Wedges, Peas & Sweetcorn and Plain Iced Bun)
---Cheese & Tomato PizzaJacket Potato (Tuna Mayo)

Thursday (Served with Chips, Carrots & sweetcorn and Plain Iced Sponge)
---Fish FingersQuorn Burger

Photo consent:
YesNo

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