• Section 1

    Details of person completing application form
  • How do you know the attendee?*

  • ** Please ensure that you check your spam / junk folder regularly for update correspondence encase this gets diverted **

  • Section 2

    Attendee Details / Permissions
  • Attendee Date of Birth*
     - -
  • Does the attendee have a disability that summer scheme leaders need to be aware off?*
  • Does the attendee have any medical considerations (inc. allergies) summer scheme leaders need to be aware off?*
  • Attendee Photography and/or Filming Permission*
  • Please indicate above (by selecting either 'Yes' or 'No') if permission is authorised for the attendee to be photographed and/or filmed whilst participating in activities associated with the summer scheme programme. 

     

    Images may be used for the purpose of promotion including online and shared with delivery partners / organisations (for example, Biodiversity, PCSP) involved in the summer scheme programme. 

  • Attendee Walking / Collection Permission*
  • Please provide details (names / contact number) for those who are authorised to collect the attendee from the summer scheme.

  • Rows
  • Section 3

    Attendee Monitoring
  • The following questions and responses will enable Fermanagh and Omagh District Council to review and monitor programme delivery across the district area and attendee demographics.

  • Which racial group does the attendee consider they belong to?*
  • Gender*
  • Section 4

    Emergency Contact Information
  • Please provide details below for x2 emergency contacts. 

     

    Emergency contact 1 (primary) will be contacted in the first instance. Emergency contact 2 (secondary) will be contacted if the primary contact does not respond.

  • Rows
  • Section 5

    Data Protection
  • In accordance with the Data Protection Act 2018, Fermanagh and Omagh Distrct Council has a duty to protect the information we hold on you. The personal information you provide on this form will only be used for the purpose of the summer scheme. Information will be shared with relevant individuals, for example, summer scheme staff however, this information will not be shared with any other organisations unless law or regulation compels such a disclosure. 

     

    For further details on how we hold your information, please visit the Privacy Section on the Council website, https://www.fermanaghomagh.com/your-council/privacy-statement

  • Section 6

    Summer Scheme Payment
  • Summer scheme payment fees are non–transferable or refundable unless the summer scheme is cancelled or re – scheduled due to unforeseen circumstances.

  • Strathroy Community Centre, Omagh // Monday 27 July - Friday 31 July 2026 // 5 - 7 years *

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    Strathroy Community Centre, Omagh (5 - 7 years). Monday 27 July - Friday 31 July 2026
    Strathroy Community Centre, Omagh (5 - 7 years)

    Monday 27 July - Friday 31 July 2026

    £25.00£25.00
      
    Total
    £0.00£0.00

    Debit or Credit Card
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