Early Years Weekend 2017

Date: Saturday 21 October to Sunday 22 October 2017
Age Range: 0 to 4 years
Location: New College Worcester
Cost: £10 per adult, £5 per child
Application Deadline: 15 August 2017

This will be the fourth year running for our Early Years Weekend, held at New College Worcester. The weekend has proved popular and offers a space for children in the 0 to 4 age bracket who are blind or partially sighted to come together along with their families (parents/guardians and siblings).

The weekend will involve baby and toddler activities for your little ones to join in with but will also have a focus on workshops and information for the parents. The itinerary is yet to be confirmed but past years have seen the little ones have fun in the ‘play room’ on the first day and enjoy a small animal encounter whilst the parents get a chance to take in the workshops and talks. The second day then consists of family activities such as African drumming, which you can all enjoy together.

The venue, New College Worcester, is a school for the visually impaired. Accommodation will be provided on campus in the student rooms and main meals in the dining hall. 

The price includes accommodation, meals and activities. If you wish to attend please fill out the application forms below.

Please note, in addition to completing the online form, you must also download and complete a parent consent form for each child attending. We cannot confirm your place without this form.  Please return the form to: VICTA Children, 5 Douglas House, 32-34 Simpson Road, Fenny Stratford, Milton Keynes, MK1 1BA.

You can download a copy of the form here:

 app_plain Download Family Consent Form (PDF)

 app_plain Download Family Consent Form (Word)

Early Years Weekend Application Form 2017

Fields marked with a * are mandatory.


Note for applicants completing this form

After completion, if you have successfully submitted the form, you should receive a successful submission message. If you do not it may be because you have not completed a required field. Fields which have not been completed will then be marked with the message 'This is a required field' so you may wish to search this.

After your form has successfully gone through you will also receive notification via email. If you do not receive an email please contact the office on 01908 240 831 as there may have been a problem with your application.

Part One - Family Details

Applicant Details


Applicant One

Applicant Two

Applicant Three

Applicant Four

Applicant Five

Applicant Six

Photographs and Filming

Photographs and video footage may be taken during this activity. These will be used to create photo albums both on our website and on social media after the activity to share with family and friends and to promote the activity. VICTA may also use any photographs or video material taken during an event for the future marketing, publicity and fundraising of activities.

Declaration, privacy and consent

To be signed by the parent or guardian aged 18 or above.

This form has been completed accurately and I undertake to update VICTA should any of the information in this form change.

a. I/the applicant agree(s) have read all the information sent, and agree to take part in VICTA's activity.

b. I acknowledge the need to/for my child to behave responsibly at all times during the activity.

c. I confirm that this form has been completed accurately and I undertake to update VICTA's organisers should any information contained on the form or personal circumstances change.

d. In the event of an emergency/accident, I consent to emergency medical treatment, which may include the use of anesthetics.

e. By signing this form you consent to VICTA using the information supplied for the purpose of administering the named event. All the information will be treated in the strictest of confidence and made available only to those staff working with the participant. Contact information will be retained and used for marketing of other relevant services.

f. I give consent for VICTA to carry out the following in accordance with the Data Protection Act (1998) and to store my personal information on VICTA's database and/or any other suitable system.

g. I agree to provide any relevant additional information required, such as the applicant's CVI and a parent consent form for each child attending with the application.

Agreement to payment

Cheques must be made payable to VICTA and posted to:
VICTA
5 Douglas House
32-34 Simpson Road
Fenny Stratford
Milton Keynes
MK1 1BA

If you wish to pay by card over the phone please call us on 01908 240831.

PLEASE NOTE: After you click submit the form will be hidden and you should receive an on-screen successful submission message. You will also receive a confirmation email. If you do not it may be because you have not completed a required field. Fields which have not been completed will then be marked with the message 'This is a required field' so you may wish to search this.