Go Ahead And Register For Short Breaks

Page 1 of 4

Go Ahead & Register for the Short Breaks Holiday Club!

Short Breaks Club Registration Form

Please Complete the Registration Form With As Much Detail As Possible.

Required Fields marked (*) Must Be Completed

This Form Has Been Tested On All Popular Computer Browsers and For The i-Pad. It May Not Work On Some Mobile Smart Devices - Phones

Before You Register Please Make Sure Your Children or Young People Are Eligible For This Short Breaks Service

They should be Registered With Greenwich Borough and Be In The Possession of an EHCP

First We Need To Know Your Contact Details

Please complete the fields below so that we have your all your contact details at hand.

Please Enter Your Name.

Please Add or Re-type Your Email Address.

Can You Please Complete This Section. We Require Your Full Postal Address.

Please Add Your Mobile Telephone Number. We Must Have A Mobile Contact Number

Please Select Your Child's Age

We Now Need Your Child's Details

Please Type Your Childs Name.

Please Add Your Child's Date Of Birth

Please Select One Option

Please Choose Your Preferred Sessions

Please Choose Your Options Below By Ticking The Boxes For The Days You Wish To Book. You can choose any combination of days. The fee will be £30 per day

Please select a date

Once You Have Completed Your Form & Registered, We Will Need To Arrange A Phone Assessment With You To Determine Your Child's Needs.

You Will Be Required To Call Our Main Office On 020 8850 6778 To Book A Telephone Assessment With One Of Our Team. We Will Need To Assess Whether Your Child Is Suitable For Our Outdoor Setting

Emergency Contact Details

Its Important We Have An Emergency Contact

If Your Children Fall Ill or Have An Accident They Will Need To Be Collected In An Emergency

These Contact Details Should Be The Person Who Can Collect The Child If Called Upon.

Invalid Input

Invalid Input

Please add a mobile number that we can contact you with in an emergency

Invalid Input

Please Select One Option

If you tick this box we will not take any images of your child.

We never share images of your child to any other third party organisations.

We may use images solely on ADO media sites including our website, newsletter, facebook, twitter or any other controlled media outlet in the future.

We have a strict safeguarding and security policy to use your images responsibly.

Invalid Input

By Sending Your Registration You Agree To Abide By The Terms and Conditions of ADO. You also agree to ensure that all the information is correct and up to date and will notify ADO if there are any changes before and during the course of your visit.
Invalid Input

ADO Brands & Services - Part of Animal Days Out CIC

Register

You need to enable user registration from User Manager/Options in the backend of Joomla before this module will activate.