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Oxclose Road, Washington, Tyne and Wear, NE38 7NY

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Oak Learning Trust

Copyright © Columbia Grange School 2025. All Rights Reserved.

Inset Day 30th June 2025

School will be closed for staff training

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Child's details

Child's first name *

Child's family name *

Child’s date of birth *

Child’s class *

Any health or special needs E.g. diet, allergies

Child's home address

Address 1 *

Address 2

Town/City *

Postcode *

Child’s home telephone number *

Guardian’s mobile number

Child’s doctor

Doctor's name *

Doctor's telephone *

Doctor's address 1 *

Doctor's address 2

Doctor's town/city *

Doctor's Postcode *

Contact details

Contact name

Contact telephone

Contact relationship to child

Second contact name

Second contact telephone

Second contact relationship to child

Consent

I agree that my child can take part in routine activities. *

I agree that my child can take part in routine activities.

I have informed the club’s staff of all medical conditions which may affect my child’s care. *

I have informed the club’s staff of all medical conditions which may affect my child’s care.

I consent to any emergency treatment necessary during the running of the club. *

I consent to any emergency treatment necessary during the running of the club.

I give permission for my child to have their photograph taken. The photographs are used within the school for displays and also may be used for evidence of activities used for Ofsted or local authority inspections *

I give permission for my child to have their photograph taken. The photographs are used within the school for displays and also may be used for evidence of activities used for Ofsted or local authority inspections

I have read and understood the parent brochure and I am satisfied with the details about the club. *

I have read and understood the parent brochure and I am satisfied with the details about the club.

Consent for storing submitted data *

Yes, I give permission to store and process my data

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Time

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