Easter Holiday Club - Registration Form
7th -17th April, Barford St Martin
Your Name
*
First Name
Last Name
Relationship to child
*
Mother
Father
Carer
Grandparent
Other
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
-
Day
-
Month
Year
Date
Your Address
*
Street Address
City
State / Province
Postal / Zip Code
Your mobile number
*
Your Email
*
example@example.com
Please select the days and hours you require:
8am-1pm
1pm-6pm
8am-6pm
9am-3pm
9am-4pm
Monday 7.04.25
Tuesday 8.04.25
Wednesday 9.04.25
Thursday 10.04.25
Friday 11.04.25
Monday 14.04.25
Tuesday 15.04.25
Wednesday 16.04.25
Thursday 17.04.25
Does your child have any medical or development needs we need to know about? e.g. allergies/ dietary requirements, hearing, eyesight, speech, Child Protection Plan etc
*
We take photographs of activities throughout the day. Do you give permission for us to use any photographs of your child for marketing purposes?
*
Yes
No
I am aware I need to provide a packed lunch, outdoor clothing and wellies (or suitable shoes for rain).
*
Yes
I am aware the cost is £6 per hour
*
Yes
Submit Registration
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