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)
- Child Name
  
  First NameLast Name
- Class
  REC- Y6 only (no nursery children permitted)
- Child Name
  
  First NameLast Name
- Class
  REC- Y6 only (no nursery children permitted)
- Child Name
  
  First NameLast Name
- Class
  REC- Y6 only (no nursery children permitted)
- Parent/Carer Contact*
  
  First NameLast Name
- Parent/Carer Mobile Telephone Number*
  Please enter a valid mobile phone numberFormat: (+44)00000000000.
- Home/Work Telephone Number
  Please enter a valid phone number.Format: (0000) 000-0000.
- Parent/ Carer Contact Email*
  example@example.com
- Home Address*
  
  House/Flat number
  
  Street Address
  
  Area/districtCity
  
  Postal / Zip Code
- 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 numberFormat: (+44) 0000000000.
- Emergency Contact 1 Home Address
  
  House/Flat number
  
  Street Address
  
  Area/districtCity
  
  Postal / Zip Code
- 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
- 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
- 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
- Your booking is only confirmed once purchased through ParentPay portal.
  Without payment, your booking is invalid.
  
  You have until 11:59pm the night before the booking is due to take place to confirm and edit your booking.
  After this time, the booking will close and your child will be unable to attend.
  
  Please note, prices are £4.00 per hour, per child.
  
  Collections after 5.45pm will be charged an additional £4.00 PER CHILD as a LATE CHARGE.
  
  We prefer to go cashless in school! Please pay via ParentPay where possible. Please note, we are no longer accounting for payments made by parents via bank transfer.
- 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.
- 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
- Please sign here
- Once you submit your application, we will contact you to complete your booking.
  
  Thank you!
- Should be Empty:

Essential information form

1. Child details

Terms of agreement