Ramadan Kids Club A Special Experience for Young Hearts (Ages 5-12)

Please fill out one form per child

Your child's details

Child's First name

Child's Last name

Child's Age

Email

Phone

Address

Multi-line address

Country/Region

Address

City

Zip / Postal code

Does your child have any special needs?

Yes

No

If you answered yes, please describe below (We request you attend with your child due to lack of SEND support)

Does your child have any dietary requirements or allergies?

Yes

No

If you answered yes, please describe below

Emergency Contact (Next of Kin)

Full Name (including first name & surname)

Contact number

Please tick if you can volunteer for the kids club daily? (If so your child / children attend free of charge)

Payment

A nominal fee of £3 per child per night will be charged to cover the cost of materials and resources.