Superweek Adventure Appeal Booking Form

Superweeks | Adventure Appeal booking form

This is the initial booking form. We will ask you to complete a more detailed Medical and Personal Information Form nearer to the start of the Superweek, which will be pre-populated with your responses to this form. You will be able to add more detail, or change your answers if you need to.

Once you have completed the form, we will create a user account for you on our website, which you can use to manage your booking. We will also create a profile, as part of your account, for your child/ren.

Your details

First name(Required)

Last name(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address

Address Line 2

City

Postcode

Child's details

Child's First Name(Required)

Preferred Name (if applicable)

(For example, if your child is called Benjamin but prefers to go by Ben, you can tell us here.)

Child's Surname(Required)

Child's Date of Birth(Required)

School name(Required)

School year group (England and Wales)(Required)

This should be the year group your child is currently in, rather than the year they will be joining in September

Gender(Required)

Child's first language

Address (if different from above)

Street Address

Address Line 2

City

Postcode

Emergency Contact Details: First Contact

It is really important that we have two emergency contacts for your child. Please provide us with the names and contact number for two contacts. If possible, please provide more than one contact number for each emergency contact.

You will be able to change these details later.

Name(Required)

Please give us the name of the first emergency contact. This is usually a parent or guardian.

Relation to child(Required)

Mobile telephone number(Required)

Daytime telephone number

Evening telephone number

Emergency Contact Details: Second Contact

We require two emergency contacts for your child. Please provide us with the names and contact number for two contacts.

Second contact: Name(Required)

Please give us the name of the first emergency contact.

Second contact: Relation to child(Required)

Second contact: Mobile telephone number(Required)

Second contact: Daytime telephone number

Second contact: Evening telephone number

Helping us to look after your child

Is your child a confident swimmer?

Yes

Cannot swim

If 'no', please give details.

Please tell us about any medical conditions your child currently has.(Required)

Does your child have any dietary requirements or allergies?(Required)

Does your child have an EpiPen (or similar)?(Required)

Is there anything else we should know about your child at this point?

You will have an opportunity to give us more details later on, but please let us know if there is anything important you want us to know now.

Photo

If you haven’t already, please upload a head-and-shoulders photograph of your child

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.

Parent/legal Guardian's Declaration

Parent/Legal Guardian's full name(Required)

Relation to child(Required)

Date of Declaration(Required)

Photo and Contact Consent

I give consent for photos of my child to be used for ATE promotional purposes(Required)

Please see our Photography and Filming Policy at www.superweeks.co.uk/about/policies

I do give consent

I DO NOT give consent

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