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Registration is now open for the
Wiltshire FUEL Camp

Booking is essential for the FUEL Camps, so ensure you register before 8th December

FUEL is a funded holiday activity and food programme that offers participants the opportunity to take part in a range of fun activities during school holiday periods in 2023. On each day of the programme all participants will also be provided with a nutritious meal.

The FUEL programme is a holiday activity programme open to young people who are eligible for benefit related free school meals.

Camp participants will be provided with a range of sports, arts and craft activities, drama and STEM activities each and every day of the camp provision.

Venues available with ElevationX:

Calne Leisure Centre, White Horse Way, SN11 0SP
Devizes Leisure Centre, Southbroom Road, Devizes, SN4 7HG
Lime Kiln Leisure Centre, Royal Wootton Bassett, Swindon SN4 7HG
Marlborough Leisure Centre, Barton Dene, Marlborough, SN8 1PB

Dates:

Thursday 21st December

Friday 22nd December

Tuesday 2nd Januarys

Wednesday 3rd January

Times: 10am - 2pm

Ages: 4 - 16 years

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Wiltshire FUEL Summer Camp 2023 Sign Up form

Which venue are you applying for?

Type in: Lime Kiln Leisure Centre, Calne Leisure Centre, Marlborough or Devizes Leisure Centre

If your young person has participated in a FUEL camp previously, please state where and when this happened.

Pupil first name

Pupil last name

Pupil date of birth

Pupil home postcode

School name (Name of school attended in June 2023)

School name - other (write in full and ensure correct spelling)

Is this application for a child that is eligible for benefit related free school meals? *

Yes

No

Is this application for a child that is currently in the care system? *

Yes

No

LA of school

Is this application for a child that is currently a refugee? *

Yes

No

Is this application for a child that has been referred to the FUEL programme through a professional service/team? *

Yes

No

Which organisation referred the child?

Parent/Guardian Title

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Telephone Number

Parent/Guardian Address

Parent/Guardian Postcode

Emergency Contact Title

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Telephone Number

Child Age

Sex

Female

Male

Is the gender the child identifies with the same as their sex as registered at birth?

Yes

No

What is the child's gender identity if different to sex registered at birth?

Type of school *

Primary

Secondary

Special

Other

School Year

Does the child have a special educational need and/or disability? *

Yes

No

Details of support needed

Does the child have, or in the process of applying for an EHCP? *

Yes

No

Has the most up to date version of the EHCP been sent into the FUEL progamme? *

Yes

No

Attach file document

Upload File

Upload supported file (Max 15MB)

Additional information relevant for FUEL camp

List any medical conditions or non-food-related allergies the participant has

Fish allergy *

Yes

No

Dairy allergy *

Yes

No

Gluten allergy *

Yes

No

Other allergy *

Yes

No

Give details of other food related allergies or intolerances the child has

No food allergies

List any physical / learning impairments the child has

Will the child need help with eating?

Yes

No

Will the child need help with toilet?

Yes

No

Will the child need help with communication?

Yes

No

Does the child require one-to-one support?

Yes

No

Is the child taking any medication? *

Yes

No

Provide medication details

Will medication need to be administered during the camp?

Yes

No

Provide medication administration details

Select the child's normal meal type *

Meat

Vegetarian

Vegan

Halal

Dairy free

Is the child dairy free? *

Yes

No

Is the child gluten free? *

Yes

No

Does the child have any other dietary requirements we need to be aware of?

Will the child be eating the food provided, or bringing their own packed lunch?

How will the child be travelling to and from the sessions? *

Collected by the emergency contact listed on this form

Collected by the parent/guardian/listed adult who's details are entered in this form

Collected by the parent/guardian/listed adult who's details are not entered in this form

Cycle or walk home on own or with friends

WC Taxi

Other Adult Title

Other Adult First Name

Other Adult Last Name

Relationship to child

Telephone Number

Enter a collection password

How did you hear about the FUEL camps?

Friend/Family

Previous participant

School

Social worker/Professional Service/Other

We would like to keep you up to date with future FUEL delivery and other opportunities relevant to you from Wiltshire Council and our commissioned delivery suppliers via email. Would you like us to keep you informed? *

Yes

No

Tick to receive a copy of your form sent to your email address

I have read and accept the terms of the privacy statement

I consent to the council and partner organisations taking and publishing photographs and/or images of myself or child/children for the purpose of promoting or publicising this activity

I consent to the photogaphs or images being placed on the Wiltshire Council or partner organisations websites and I understand that these images will be available on the world wide web

Pick your dates:

Week 1

Monday 31st July

Tuesday 1st August

Wednesday 2nd August

Thursday 3rd August

Week 3

Monday 14th August

Tuesday 15th August

Wednesday 16th August

Thursday 17th August

Week 2

Monday 7th August

Tuesday 8th August

Wednesday 9th August

Thursday 10th August

Week 4

Monday 21st August

Tuesday 22nd August

Wednesday 23rd August

Thursday 24th August

We will add you onto a waiting list for any spaces that become available. If we can give you a space, we will be in touch either to confirm or we may request further information.

You are now added to the waiting list

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We look forward to seeing you at a camp soon!

ElevationX is a specialist outreach and in-school interactive workshop delivery provider. We facilitate enriching and ‘elevating’ experiences for young people to help them achieve their full potential.

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T: 0845 5615601

E: hello@elevationx.uk

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