Holiday Activities Food (HAF) programme Step 1 of 4 25% YOUNG PERSONS DETAILS:Are you in receipt of benefits related free school meals?*YesSchool attended?School addressName* First Last Address* Street Address Address Line 2 City County ZIP / Postal Code Date of birth* Date Format: DD slash MM slash YYYY Age MEDICAL NEEDS:Does your child have any allergies?*YesNoIf Yes, please provide detailsDoes your child have any additional needs?*YesNoPlease provide detailsAre there any foods your child cannot eat due to cultural or religious beliefs?*YesNoPlease provide detailsDoes your child take any regular medication?*YesNoPlease provide details MEDICAL CONSENT: Please indicate if you are happy for your child to receive emergency medical treatment I am happy for my child to receive the following treatments: Simple first aid including but not limited to plasters Emergency medical treatment by ambulance/ medical professional CARERS / PARENTS DETAILS: Parent 1* First Last Phone*Email* Parent 2 First Last PhoneEmail EMERGENCY CONTACT DETAILS: Please provide 2 Emergency contact 1* First Last Phone*Emergency contact 2* First Last Phone* Do you consent for us to use photographs and videos taken during the day?*YesNoAny other relevant information?Do you agree to our terms and conditions as well as indicating all information included is accurate?* I agree This iframe contains the logic required to handle Ajax powered Gravity Forms.
