Holiday Programme – Ekota Academy

Parent/Guardian Full Name

Relationship to Child

Emergency Contact Name

Emergency Contact Number

Emergency Contact Name 2

Emergency Contact Number 2

Known allergies or medical conditions (N/A if not applicable)

Current Medications (if any)

Asthma/respiratory conditions

Yes No

If yes, provide detials

How willl your child travel to and from sessions?

I will drop off and pick up my child from the session. I give permission for my child to travel to and from the session alone. I understand that Ekota can only be held responsible for my child’s safety during the session timings.

Dietary Restrictions

Ekota wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the organisation and it’s members in encouraging equality and diversity. The organisation needs your help and co-operation to enable it to do this, but filling in this form is voluntary. The information provided will be kept confidential and will be used for monitoring purposes.

What is your child’s gender?

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong.

What is your child’s ethnicity? (PLEASE SPECIFY)

Do you consider your child to have a disability/health condition? (PLEASE TICK BOX)

Yes No

If yes please provide more information

Does your child get free school meals? (PLEASE TICK BOX)

Yes No

Has your child attended any sessions at Ekota before?

Yes No

If yes, please specify what sessions where attended

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Contact

Goodmayes Park, Aberdour Road, London,
Ilford, Essex, IG3 9pG

+44 7595 391743
contact@ekotaacademy.com

News Room

We are seeking people to get involved from a wide range of backgrounds to be part of the diverse Ekota family.

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Online Registration Form

Become Our Volunteer

This is a chance to be a part of a social movement working with an experienced and passionate team. Become a volunteer today and gain new skills, meet new people, support and give back to your local community. Our opportunities can also help those individuals seeking paid employment to build up their confidence and skills. You must be 16 years and above with no criminal convictions. All volunteers will be required to complete a DBS check. You will receive a range of relevant training and support to deliver your role.

Volunteer Recruitment

All our volunteers will have to go through a process of recruitment and checks will be undertaken. If you are interested in volunteering with the club please complete the Ekota volunteer application and email it to contact@ekotaacademy.com.

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Careers

Apply to work at our organisation.

Volunteer

We are seeking people to get involved from a wide range of backgrounds to be part of the diverse Ekota family.

Contact

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Online Registration Form

Become Our Volunteer

Volunteer Recruitment

Join as a Member

Sponsor Us

Careers

Volunteer

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