Kids Alive Outside 2013 Booking Form Extended

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Kids Alive Outside 2013 Booking Form 26th – 28th July 2013

St Mark’s College, Audley End, Saffron Walden, CB11 4JD

Cost The total cost for Kids Alive Outside is £65 per child, payable in two instalments: Non-refundable deposit of £15 by 22nd March with this booking form Extended to 22nd April Remaining balance of £50 by 24th May Please make cheques payable to The Salvation Army and send to address below. If you would prefer to make payment by internet banking please contact us for details

Child’s Details Full Name: Male/Female (delete as applicable) Date of Birth:

A full medical form will be sent out when your child’s place is confirmed, but the following information is sought to help our planning. During the weekend your child will be involved in a variety of activities. In order to allow the staff team to be fully prepared, please indicate in the space provided any special needs your child has which could in some way affect their participation.

Address:

Corps:

Contact Information Parent/Carer with Parental Responsibility:

Catering will be provided by St Mark’s College staff. Please indicate any dietary needs your child may have that we need to provide for.

Telephone/mobile: E-Mail:

The Salvation Army will use your and your child's information for administration and providing services. The information will be stored both electronically on computer and in a manual filing system and will be stored securely and confidentially. Information will be held at the divisional unit organising the event and will be processed by the event director and designated personnel. We may have to contact you by mail or telephone. By signing this form, you consent to our processing your sensitive personal data and keeping your records on file to use them for the above purposes. You have a right to ask for a copy of your information and correct any inaccuracies

Parent/Carer Signature: date

Corps Officer Signature: date

To book your child’s place at KAO 2013 please complete and return this application form together with your non-returnable deposit by 22nd April 2013 to: The Salvation Army, LNE Divisional Headquarters, Maldon Road, Hatfield Peverel, CM3 2HS Places are limited and will be allocated on a ‘first come, first served’ basis.

Registered Charity No. 214779 and in Scotland SC009359


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