Summer

Information
HAF Booking
Paid Booking
Consent
2021 events

Information

This year we’re hosting two evenings for the first four weeks of the summer holiday.

Tuesday evenings will be hosted on alternate locations starting on the Crown Meadow, then the Lodge Lane park. The following two weeks will then follow the same pattern. These events are completely free!

We’ll also be running sessions in The Bridge building on Friday evenings, which will need a booking. These sessions are a little different to our term time Friday sessions and require a booking.

During our Friday evening session, we’ll use the activities in The Bridge building for a fantastic, fun evening of food and activities.

The Calm Cafe will provide our food, and the staff will be teaching us how to prepare easy delicious food.

The Bridge has a range of equipment open to us, including a pool table, air hockey, games consoles, ipads, lego, massive Jenga and tabletop games. We also have a great little garden which we’ll be renovating throughout the summer with the Bridgnorth Gardening Group.

HAF BOOKING

If you’ve been given a HAF voucher from your school please visit: https://haf.shropshire.gov.uk/ to book into our Friday night sessions for free.

PAID BOOKING

Young Person's Details

This form is to be filled in by any parent or carer who wishes their child to attend activities managed by Bridgnorth Youth & Schools Project & The Bridge Youth Centre. The Bridgnorth Youth & Schools Project runs both the activities of The Bridge Youth Centre and its own activities. The data provided on this form will be held by both the Bridgnorth Youth & Schools Project and The Bridge Youth Centre. It will not normally be disclosed to any other third party and it will only be used to assist in managing activities effectively, safely, and to fulfil safeguarding responsibilities.

Young Person's Name *

First

Last

Date of Birth *

Young Person's Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Parent/Carer Section

Parent/Carer Name *

First

Last

Parent/ Carer Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

ADDRESS OF PARENT / GUARDIAN DURING THE RESIDENTIAL IF DIFFERENT FROM THE CHILD’S ADDRESS ABOVE:

Parent/ Carer Phone *

Please provide the most accessible phone number

Parent/ Carer Email

Confirm Email

Medical Information

Doctor Name/ Surgery Name *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Please fill in as much as you know about the surgery you attend.

Known Conditions

Please give details of any disabilities or medical conditions of which we should be aware

Dietary needs

Please give details of any special dietary requirements

Consent

Consent (Please tick to confirm) *

I give permission for my son/daughter to take part in Bridge sessions.
I understand that the leaders and those organising these activities will take all reasonable care in looking after my son/daughter but they cannot necessarily be held responsible for any loss or damage to property during, or as a result of, the session, event or trip.
In an emergency, if I cannot be contacted despite all reasonable attempts to do so by the leaders and organisers of the activity, I give permission for my son/daughter to undergo emergency medical/dental treatment, including the use of anaesthetics, as considered necessary by the medical authorities.
I understand that if my son/daughter grossly misbehaves that the management may forbid them from further participation. I agree to pay for deliberate damage to property caused by my son/daughter.
I give permission for The Bridge Youth Centre & Bridgnorth Youth & Schools Project to process the personal data given on this form for use in relation to my child taking part in activities. All information is kept in line with current data protection legislation. To view our privacy policies please visit: www.bridgnorthyouthandschoolsproject.co.uk www.thebridgeyouthcentre.co.uk
I understand that videos and photographs of young people attending activities may be taken by participants and staff and attendance at the activity signifies agreement that these may appear in future publicity or other materials produced for The Bridge Youth Centre and the Bridgnorth Youth & Schools Project. (*Personal information is never disclosed when such materials are used, unless permission is obtained.)

If you're concerned about any of these, please come to speak to us.

Parent/Carer Signature (Type your full name) *

THIS SECTION MUST BE SIGNED BY THE PARENT OR OTHER ADULT WITH PARENTAL RESPONSIBILITY.

Over 13's Signature (Type your full name)

THIS SECTION MUST BE SIGNED BY THE ATTENDING YOUNG PERSON IF THEY’RE OVER 13 YEARS OLD.

Last Summer’s events

Contents

20th – 22nd July: Crown Meadow
27th – 29th July: Lodge Lane Park
17th – 19th August: The Bridge week 1
24th – 26th August: The Bridge week 2

CREATIVE DRAMA AND WRITING WITH PENTABUS THEATRE

CUPCAKE BAKING & DESIGN WITH DOOBLYDOO TREATS

This opportunity is provided as part of the government’s expanded Holiday Activities and Food (HAF) programme being delivered across Shropshire. Funded by the Department for Education. To find out more, view the ‘What’s On’ guide and sign up to the HAF newsletter go to: www.shropshire.gov.uk/haf / www.facebook.com/ShropshireFamilyInfo

CONTENTS

Information

HAF BOOKING

PAID BOOKING

Booking form

Young Person's Details

Parent/Carer Section

Medical Information

Consent

Last Summer’s events