Booking Form for Summer HolidayActivities 2017

Name of Child
Date of Birth
Home Address
Home Tel. Number
Name of Parent/Guardian
Emergency Contact Number(s) of Parent/Guardian
E-Mail address to send confirmation of activities
Please tell us about any medical conditions that your daughter or son has that we may need to know about, including medication required on the day. If none please state ‘None’
Please tell us about any additional needs that your daughter or son has (e.g. learning disabilities):
Please can you inform us whether your child can swim or not. (If they are able can they swim 25m, a length of Felixstowe Leisure Centre)
Tuesday 25th July 2017 Mersea Island Aerial Runway & Climbing
Meet @ Level Two @ 9.15am. Leave @ 9.30am and travel by minibus to Essex Outdoors. Returning to Level Two approx 4.30pm. Packed lunch & drinks required and a change of clothes. / £30
Wednesday 26Th July 2017 Hippodrome Circus & Water Spectacular
Meet @ Felixstowe Train Station @ 9.15am. Travel by train from Felixstowe @ 9.28am to Great Yarmouth. Arrive back to Felixstowe station approx 19.24pm. Lunch provided. Bring food and drink for journey home. / £23
Thursday 27Th July 2017 Level Two Open Sessions
Level Two will be open to all years from 10.00am – 12.00pm & 2.00pm -4.00pm / FREE
Tuesday 8th August 2017 Level Two Open Sessions
Level Two will be open to all years from 10.00am – 12.00pm & 2.00pm -4.00pm / FREE
Wednesday 9th August 2017 JumpStreet & Empire Cinema
Meet @ Level Two at 10.00am. Travel by minibus to Colchester. Jump 11-12. Travel to Ipswich to watch Film (TBA) @ Empire Cinema. Return to Felixstowe @ approx 4.30pm. Lunch provided. / £23
Wednesday 16th August 2017Mersea Island Adventure Course & Archery
Meet @ Level Two @ 9.15am. Leave @ 9.30am and travel by minibus to Essex Outdoors. Returning to Level Two approx 4.30pm. Packed lunch & drinksrequired and a change of clothes. / £30
Thursday 17th August 2017 Crabbing @ Felixstowe & Bawdsey
Meet at Felixstowe Ferry @ 11am. Crabbing equipment provided. Bring a packed lunch/picnic. Pick up 4pm at Felixstowe Ferry. / £10
Wednesday 23rd August 2017 The Playground
Leave Level Two @ 11am and travel by mini bus to Bury St. Edmunds. Return back to Level Two @ 4pm. Lunch provided. / £20
Thursday 24th August 2017 Area 25 Martlesham
Meet @ Level Two @ 3.15pm. Returning to Level Two @ 7pm. Meal included. / £12
Tuesday 29th August 2017 Level Two Open Sessions
Level Two will be open to all years between 10.00am – 12.00pm & 2.00pm -4.00pm / FREE
Wednesday 30th August 2017 Pleasure Wood Hills
Leave Level Two @ 8.30am, return approx 5.30pm @ Level Two. Bring packed lunch & drinks. Meal provided for Teatime. / £30

Tues1st August 2017- Thurs 3rd August 2017

Level Two Drop In @ The Beach Hut

We will be based @ Number 125 Beach Hut (bottom of Bath Hill, in-between toilet block and shelter on these days. Pop down and see us. Tues & Weds from 10am & Thurs from 12pm.

Please tick next to the trips if you would like your daughter or son to attend. Remember to keep a note about the dates you have booked. Numbers are limited and places will be allocated on a first come first serve basis, so early booking is recommended. To secure your place we must have both a completed form together with payment or instalment. (Instalments are accepted to spread the cost of an activity if you are unable to pay the full amount in one go.) We cannot reserve spaces. Please note that you will receive a confirmation e-mail of payment and further details of the activity nearer the time.

I (the parent or legal guardian) have read the booking form and give consent for my child to participate in the activities/trips. I acknowledge that the staff of Level Two will be liable in the event of any accident only if they have failed to take reasonable care of my child. Also, I allow for my child to receive medical treatment, which, in the opinion of a qualified medical practitioner, may be necessary if I cannot be contacted.

Level Two may take photos of the young people for use on our website or for our publicity. Please cross this box if you do not want this to happen.

When it is stated that a meal is provided it will either be a Happy Meal either in form of a McDonalds/Burger King/KFC/Subway Meal. Money can be brought for drinks/snacks and souvenirs.

Each young people is responsible for their own belongings (phones, IPad, clothing etc) and money.

Signed:……………………………………………………………. Date:…………………………………………………………………………………

(Parent/Guardian)

This information will be kept confidential within Level Two Youth Project

Please return form with payment to:- Level Two Youth Project, 2nd Floor, 54 Cobbold Road, Felixstowe, IP11 7EL. Cheques payable to “Level Two Youth Project”.

Any queries or for further information Tel : 01394-272521

‘Level Two is committed to safeguarding the welfare of all young people’