L4 After School Club Booking Form

Essential information form

Please complete all fields below to complete the enrollment process for L4 After School Club. Please note, this is not a sessions booking form. To book sessions, please login to your ParentPay account and complete your booking online. If you need your login details, please email L4@anfieldroadprimary.co.uk & Parentpay@anfieldroadprimary.co.uk
1. Child details
Child Name*

First NameLast Name
Class*
REC- Y6 only (no nursery children permitted)

Emergency Contact Details- must be different to the above
Emergency Contact 1*

First NameLast Name
Relation to child*
example. Aunty, Grandmother, trusted family friend
Emergency contact 1 Mobile Telephone Number*
Please enter a valid mobile phone number
Emergency Contact 1 Home Address

House/Flat number

Street Address

Area/districtCity

Postal / Zip Code

Dietary and Medical information
Please inform us of any dietary requirements here
Halal, Vegetarian, Vegan, any food intolerances etc
Please inform us of any ongoing health conditions
Asthma, epilepsy, diabetes etc
Is your child currently taking any medication? Please give further details
regarding the above or any other condition
Parental Consent

I give permission for my child's photograph to be taken and used on social media/ feature in marketing contentPermission to sample foodsPermission for my child to access and use the internetEmergency inhaler consent

Booking sessions
Please note, bookings are taken through a seperate online portal called ParentPay.

Please enter your email address below to recieve your login details (username and password) to access your child's ParentPay account.
Email
example@example.com
Click here to access ParentPay Parent log in web page

External funding eligibility/application
For parents who practice further education in a college, university or other learning facility

Please contact us via email L4@anfieldroadprimary.co.uk if you believe you are eligible for further external funding to help support your finances towards L4 After School Club.

We may ask you for application forms provided by your college (please ensure you complete your section first!) and contact details of student services to assist us with applying.

Let's get the ball rolling! Why don't you upload your funding forms below to support your email?
File Upload

Cancelof
Terms of agreement

Further information and related policies
To finalise your booking, please review our Parent Information Booklet and confirm your acceptance of the outlined behavior guidelines and related policies.
You must agree to the below to confirm your membership*

I have read, understood, and accepted the terms of agreement and related policies for membership.I understand that failure by myself or my children to comply with and respect the aforementioned measures may result in grounds for removal or dismissal

Sign your name below to complete your application
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Once you submit your application, we will contact you to complete your booking.

Thank you!
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Essential information form