4th July INSET day

1st child*

Full nameAge

2nd child

Full nameAge

Parents name*

First NameLast Name

Address*

Street Address

Street Address Line 2

City

Post Code

Parents E-mail*

example@example.com

Parents contact number *

Please enter your mobile number

YESNO

AM- 8am-9amPM 3pm -6pm (join after school club for the evening)NONE

Dietry requirements / allergies / medical information

YesNo

ORDER FORM- ONLY SELECT FROM HERE IF PAYING VIA PAYPAL OR YOU CANNOT SUBMIT FORMPlease choose to book via Paypal using this form or choose a different option below. IF NOT PAYING VIA PAYPAL, PLEASE DO NOT SELECT ANY OF THE OPTIONS HERE AND PROCEED TO THE LAST QUESTION AND PRESS SUBMIT

1st Child booking

1st child cost

£35.00 Quantity

AM wrap around

Please choose this if you would like to drop off from 8.30am

£2.50 Quantity

Sibling - 2nd + child

Please choose this option for the 2nd + child

£30.00 Quantity

PM wrap around

Your child will join our after school club and can stay until 6pm Sandwiches and snacks are provided

£11.50 Quantity

Lunch Buffet & snacks

Please choose this if you require food for your child

£3.50 Quantity

Subtotal

£0.00

Shipping

£0.00

Total

£0.00

Childcare vouchersdirect bank transferCash

Pay with PayPal

Choose from one of the PayPal options to make your payment.

Student Registration Form- 4th July INSET day