Project Booking Form - Christmas Holidays 2023

Please choose a first, second and third choice for the week.

You can cancel sessions up until Sunday 3rd December with no charge, but after this we will not be able to issues refunds.

Please note: this form must be submitted by the end of Sunday 19th November. Forms submitted after this date will not be processed.

Child's Name

First Name

Last Name

Child's Date of Birth

Home postcode

Local Authority

Email address for booking outcome

Parent name

First Name

Last Name

Project Christmas Holidays Booking Form

1st Choice

2nd Choice

3rd Choice

What are the benefits or outcomes that you would like to see come out of your chosen activities for you?

What are the benefits or outcomes that you would like to see come out of your chosen activities for your child?

Do you have any ideas for activities or anything that your child would like included in our programme going forwards?

Personal details collected from these forms, will only be used to provide you with the services described on these forms. We promise to make all reasonable efforts to keep your details secure, and will only share them with third parties working on our behalf, as required. Except as required by law, we will never share your details with other organisations to use for their own purposes. For full details, see our privacy policy.

If you have any questions, please don’t hesitate to get in touch with us at project@diverseabilities.org.uk or 01202 718238 option 3.