Ladycross Infant School - After School Club Booking Form

Ladycross Infant School - After School Club Booking Form - Autumn 2
PLEASE READ THE AFTER SCHOOL CLUB INFORMATION BEFORE COMPLETING YOUR BOOKING FORM*
PLEASE COMPLETE 1 FORM PER CHILD
Child's Name*

First NameLast Name
Date of Birth*
Address*

Street Address

Street Address Line 2

TownCounty

Post Code
School Year

EYFSYear 1Year 2
Emergency Contact (must be contactable during the club)*
Relationship to child*
Medical conditions and medication taken
My child will:*

be collected after clubbe walking home after club
Please select ONE of the following options regarding photographs:*

I DO give consent for my child to be in promotional material photographsI DO NOT give consent for my child to be in promotional material photographs
Any additional information you feel we may require
Email*
example@example.com
Form completed by:*

First NameLast Name
Signature*

Clear
Please select the club you would like your child to attend:*
prevnext( X )
Year Rec/1/2 Football - Wednesday
£36.00

Year Rec/1/2 Gymnastics - Thursday
£36.00

Total

£0.00
You will receive a confirmation email on completion of your booking. Please email info@amsports.co.uk if you do not receive this within 24 hours.

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Ladycross Infant School - After School Club Booking Form - Autumn 2