Summer 2026 Holiday Group Registration Form

Summer 2026 Holiday Group Registration Form
Names, dates of birth and ages of children attending the group/s:
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name

First NameLast Name
Contact number
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Contact number
Does your child have any allergies, chronic illness, or medical conditions? If yes, please list these below.
Does your child currently attend therapy sessions at our clinic?
How did you hear about our holiday groups?
All groups will take place at our clinic in Walton on Thames except for the nature enrichment groups that will be held outdoors in our eco space a short walk from the clinic at Walton Community Allotments KT12 2DX.
Informed Consent and Acknowledgement

Sensory Smart Child Therapies has taken and will continue to take every precaution to ensure the safety and wellbeing of your child/children. However, therapists or any other person (including all staff members and participants) on either our clinic or eco space premises may not be held responsible for any injury, mishap (including loss or damage to property) be it in or outside the premises caused by accident or any other reason.

I give my approval for my child’s participation in any and all activities prepared by Sensory Smart Child Therapies during the selected group/s.
Acceptance of terms of holiday groups

I, the signatory and parent/guardian of the aforementioned child/children declare that I have read, understood and accepted the conditions of the holiday groups contained in this document.
Date

DayMonthYear
Date
Signature
Please tick the box in the top left of the image to select the group you wish to book, select quantities of number of places required. Once you submit the form you will be redirected to our secure stripe payment portal.
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3rd August: Doodlebugs (ages 6 to 8) 1-2:30pm
This Minecraft-themed group uses fun, hands-on challenges and multisensory activities to help children level up their fine motor skills. Young builders will strengthen hand muscles, improve shoulder and wrist stability, develop dexterity and in-hand manipulation skills, and practice the control neededfor handwriting.

£75.00 Quantity



5th August: Doodlebugs (ages 6 to 8) 1-2:30pm
This Minecraft-themed group uses fun, hands-on challenges and multisensory activities to help children level up their fine motor skills. Young builders will strengthen hand muscles, improve shoulder and wrist stability, develop dexterity and in-hand manipulation skills, and practice the control neededfor handwriting.

£75.00 Quantity



10th August: Girls Social Group (ages 10-12) 10am-12pm
This group supports girls in developing the social skills needed to build and maintain friendships, engage in conversations, understand body language and feel more confident in social situations.

£100.00 Quantity



17th August: Nature Enrichment Group (ages 5-8) 10-12pm
Using our beautiful allotment space, children will explore, create and connect through nature-based activities. Through scavenger hunts, gardening, outdoor games and creative projects, children will develop teamwork, motor skills, confidence and curiosity while enjoying the benefits of learning and playing outdoors.

£100.00 Quantity



17th August: Girls Social Group (ages 10 to 13) 10am-12pm
This group supports girls in developing the social skills needed to build and maintain friendships, engage in conversations, understand body language and feel more confident in social situations.

£100.00 Quantity



18th August: Dungeons and Dragons (ages 9-12) 11-1pm
Led by an OT and SLT, this group uses the magic of role-playing adventures to build confidence, communication and social skills. Through collaborative storytelling, problem solving and imaginative quests, children will practise conversation, teamwork, flexible thinking and self-expression in a fun, engaging and supportive environment.

£100.00 Quantity



19th August: Nature Enrichment Group (ages 8-12) 10-12pm
Using our beautiful outdoor allotment space, this group encourages children to explore, create and connect through nature-based activities. Through scavenger hunts, gardening, outdoor games and creative projects, children will develop teamwork, motor skills, confidence and curiosity while enjoying the benefits of learning and playing outdoors.

£100.00 Quantity



20th August: Doodlebugs (ages 9-12) 1-2:30pm
Lights, camera, action! In this movie-themed group, children will take on the role of event planners as they prepare for our very own movie afternoon. Through fun, hands-on and multisensory activities, they will create invitations, design decorations, prepare snacks, and organise everything needed for the big event. Along the way, children will develop hand strength, shoulder and wrist stability, fine motor control, dexterity, in-hand manipulation, and handwriting skills while working together behind the scenes.

£75.00 Quantity



24th August: Nature Enrichment Group (ages 5-8) 10-12pm
Using our beautiful allotment space, children will explore, create and connect through nature-based activities. Through scavenger hunts, gardening, outdoor games, and creative projects, children will develop teamwork, motor skills, confidence and curiosity while enjoying the benefits of learning and playing outdoors.

£100.00 Quantity



25th August: Dungeons and Dragons (ages 9-12) 11-1PM
Led by an OT and SLT, this group uses the magic of role-playing adventures to build confidence, communication and social skills. Through collaborative storytelling, problem solving and imaginative quests, children will practise conversation, teamwork, flexible thinking and self-expression in a fun, engaging and supportive environment.

£100.00 Quantity



26th August: Nature Enrichment Group (ages 8-12) 10-12pm
Using our beautiful outdoor allotment space, this group encourages children to explore, create and connect through nature-based activities. Through scavenger hunts, gardening, outdoor games and creative projects, children will develop teamwork, motor skills, confidence and curiosity while enjoying the benefits of learning and playing outdoors.

£100.00 Quantity



26th August: Doodlebugs (ages 9-12) 1-2:30pm
Lights, camera, action! In this movie-themed group, children will take on the role of event planners as they prepare for our very own movie afternoon. Through fun, hands-on and multisensory activities, they will create invitations, design decorations, prepare snacks, and organise everything needed for the big event. Along the way, children will develop hand strength, shoulder and wrist stability, fine motor control, dexterity, in-hand manipulation, and handwriting skills while working together behind the scenes.

£75.00 Quantity



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Summer 2026 Holiday Group Registration Form

All groups will take place at our clinic in Walton on Thames except for the nature enrichment groups that will be held outdoors in our eco space a short walk from the clinic at Walton Community Allotments KT12 2DX.

Please tick the box in the top left of the image to select the group you wish to book, select quantities of number of places required. Once you submit the form you will be redirected to our secure stripe payment portal.*

Please tick the box in the top left of the image to select the group you wish to book, select quantities of number of places required. Once you submit the form you will be redirected to our secure stripe payment portal.