Summer Scheme 2023 - Form - Finchley Reform Synagogue

If you are booking for more than one child, please fill out a separate form for each.

FRS Members should see above a drop down menu from which to select the child you are booking for. If you are a member but cannot see this option, please log in to the website on the top right of the screen.

Non-members - please fill in your child's name where requested below.

* Parent First and Last Name

* Parent phone number

* Email for confirmation

* Child's Surname

* Child's First Name

* Current School Year

Allergies

Are there any social / educational / family / behavioural issues we need to be aware of?

Other medical issues eg Asthma, epilepsy, ....

Medication

* Day School

* Doctor's Name / Practice

* Doctor's telephone number

* Emergency Contact 1 Name (other than parent creating the booking)

* Emergency Contact 1 Number

* Emergency Contact 1 Relationship

* Emergency Contact 2 Name (other than parent creating the booking)

* Emergency Contact 2 Number

* Emergency Contact 2 Relationship

* Photo permission - in print

* Photo permission - online

* This is a booking for:

* My child will attend on (select all that apply)

* FRS Cares

Please selectI would like to donateI can't donate at this timeMaking a donation to FRS Cares will allow a young FRS person to join our events who wouldn't otherwise be able to do so. Please tick here if you are happy to add a donation:

FRS Cares amount

Total