After School Club Registration Form

After School Club Registration
Please complete and submit the form below for each child in your family attending After School Club. Registration forms MUST be completed before bookings will be accepted.

All pupil information will be treated and stored confidentially.
Child’s Name

First Name Last Name
Birth Date

Month Day Year
Year Group
Teacher’s Name
Emergency Information
Emergency Contact's Name

First Name Last Name
Relationship
Phone Number
Does your child have any allergies or medical conditions? If yes, please describe.
Is your child prescribed an inhalers any other medication they need in school? If yes, please provide details.
Does your child have any special educational needs? If so, please give a brief description.
Please note that prior to submitting this form, you must have read the After School Club Policy. By submitting this form you are agreeing to follow this policy.
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