Go Ahead And Register For Short Breaks

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Go Ahead & Register for the Easter Short Breaks Holiday Club!

Short Breaks Club Registration Form

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

You Can Register Two Sibling Children-Young People On This Form. To Register A Second Sibling, Follow The Instructions At The End Of Registering Your First Sibling

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 Are Eligible For This Short Breaks Service

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

You Can Now Complete The Booking Details For Your First Child. Once Completed You Will Have A Chance To Register A Second Sibling Child.

Please Type Your Childs Name.

Please Add Your Child's Date Of Birth

Please Select One Option

Please Choose Your Preferred Taster 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 £18 per day for these taster sessions

Please select a date

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.

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

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You Now Have The Option Of Adding An Additional Sibling Child

Please Click An Option. Do You Want To Add A Sibling? - Yes or No

We Now Need Your Second Child's Details

Please Type Your Childs Name.

Please Add Your Child's Date Of Birth

Please Select Your Child's Age

Please Select One Option

Please Choose Your Preferred Taster Sessions For Your Second Child.

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 £18 per day for these taster sessions

Please select a date

Payment Options

Please Indicate How You Intend To Pay For Your Booked Sessions

Please note these sessions will not be deducted from your core hours.

Invoices or receipts can be arranged for those wishing to collect proof of payment for your funding.

Please Select One Option

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.

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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.
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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.