MAY Half Term Play Streets

Register your interest

PLEASE NOTE THAT THIS SESSION IS NOW FULLY BOOKED. YOU CAN COMPLETE THE BELOW FORM TO BE PUT ON THE WAITING LIST IN CASE ANYBODY CANCELS. Thank you!

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Play Streets is back for May Half Term! Please complete this form to register your interest if you'd like to come to the sessions, provide relevant consents & any specific requirements. Your details will be passed onto the providers delivering the sessions who will confirm your place. This form is expression of interest only and does not guarantee you a space until this has been confirmed by the providers.

May Half Term Play Streets is being delivered by the community in partnership with ForHousing. It is being funded by ForHousing and Knowsley SNAP programme (we hope, just waiting on funding confirmation!!)

Session Details

WEDNESDAY 29 MAY, 12pm - 3pm

Safari Kids Club

Safari Kids Club are back delivering their amazing collection of games, arts and crafts and sports!

Please book directly with Safari Kids Club to book your space

@ Volair Leisure Centre, The Withens, L28 1AB

THURSDAY 30 MAY 2pm - 4pm

Play Streets at the Craigs Community Centre

This session is being delivered by parents of Play Streets children with the Craigs Community Gardeners and ForHousing. You can expect gardening, Zumba games, loads of arts & crafts in the beautiful setting of the Craigs garden. Please dress your child appropriately (e.g. nothing you don't mind them getting dirty in!)

Parents will need to stay with children under the age of 8. We would encourage one parent or carer to stay with all children during the session to help them engage.

Food will be provided for participants at the sessions to either have there or take away with them.

If you are unable to make a session please email communities@forhousing.co.uk or call 0787 280 7955 to help avoid any wasted spaces.

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* 1. Childs Details Please complete for each child

Child 1 First Name

Child 1 Second Name

Child 1 Age

Child 2 First Name

Child 2 Second Name

Child 2 Age

Child 3 First Name

Child 3 Second Name

Child 3 Age

Child 4 First Name

Child 4 Second Name

Child 4 Age

Child 5 First Name

Child 5 Second Name

Child 5 Age

Child 6 First Name

Child 6 Second Name

Child 6 Age

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* 2. Address Details

Address

Address 2

City/Town

Post Code

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* 3. Parent/Carer Contact Details

Parent/Carer First Name

Parent/Carer Second Name

Relationship to child

Contact Number

Email Address

Address (if different to child)

Postcode (if different to child)

Will you attend with your child/ren? (if yes, approx how many so we know for numbers)

Emergency Contact Name

Emergency Contact Number

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* 4. Are you a ForHousing Tenant?

Yes

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* 5. Please answer the following questions for each child which includes permissions:

	You can give my child food / packed lunch	My child is entitled to a (benefit related) free school meal	You can put plasters on my child	You can put face paints on my child
Child 1	Child 1 You can give my child food / packed lunch menu	Child 1 My child is entitled to a (benefit related) free school meal menu	Child 1 You can put plasters on my child menu	Child 1 You can put face paints on my child menu
Child 2	Child 2 You can give my child food / packed lunch menu	Child 2 My child is entitled to a (benefit related) free school meal menu	Child 2 You can put plasters on my child menu	Child 2 You can put face paints on my child menu
Child 3	Child 3 You can give my child food / packed lunch menu	Child 3 My child is entitled to a (benefit related) free school meal menu	Child 3 You can put plasters on my child menu	Child 3 You can put face paints on my child menu
Child 4	Child 4 You can give my child food / packed lunch menu	Child 4 My child is entitled to a (benefit related) free school meal menu	Child 4 You can put plasters on my child menu	Child 4 You can put face paints on my child menu
Child 5	Child 5 You can give my child food / packed lunch menu	Child 5 My child is entitled to a (benefit related) free school meal menu	Child 5 You can put plasters on my child menu	Child 5 You can put face paints on my child menu
Child 6	Child 6 You can give my child food / packed lunch menu	Child 6 My child is entitled to a (benefit related) free school meal menu	Child 6 You can put plasters on my child menu	Child 6 You can put face paints on my child menu

Other (please specify)

Question Title

* 6. Please provide details of any allergies or medical conditions we need to be aware of before giving them a packed lunch? If you leave this blank we will assume that there are no allergies.

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Anything else?

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* 7. I give permission for my child’s photo to be taken as part of Play Streets and be used by ForHousing & Play Street partners on Social Media, press articles, internal articles etc..

	I consent to my child's photo being taken
Child 1	Child 1 I consent to my child's photo being taken menu
Child 2	Child 2 I consent to my child's photo being taken menu
Child 3	Child 3 I consent to my child's photo being taken menu
Child 4	Child 4 I consent to my child's photo being taken menu
Child 5	Child 5 I consent to my child's photo being taken menu
Child 6	Child 6 I consent to my child's photo being taken menu

Other (please specify)

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* 8. Please use this space to make us aware of any access of any additional needs your child or children may have.

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* 9. Please let us know which sessions you would like to sign up to for.

Thursday 30 May 2pm - 4pm at the Craigs Community Centre

MAY Half Term Play Streets

Register your interest

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* 1. Childs Details Please complete for each child

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* 2. Address Details

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* 3. Parent/Carer Contact Details

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* 4. Are you a ForHousing Tenant?

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* 5. Please answer the following questions for each child which includes permissions:

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* 6. Please provide details of any allergies or medical conditions we need to be aware of before giving them a packed lunch? If you leave this blank we will assume that there are no allergies.

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* 7. I give permission for my child’s photo to be taken as part of Play Streets and be used by ForHousing & Play Street partners on Social Media, press articles, internal articles etc..

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* 8. Please use this space to make us aware of any access of any additional needs your child or children may have.

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* 9. Please let us know which sessions you would like to sign up to for.

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* 10. Any other comments?

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* 11. Are we ok to share the details provided with partner organisations who are delivering Play Streets

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* 12. If someone else is collecting your child please provide a password below:

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* 13. Anything else?