St Philips - Summer Term 2

St Philips - After School Club

Summer Term 2
Dates: 13.06.25 - 18.07.25

Times: 3:15 - 4:15pm
Friday - Football - (KS1 & 2)
Childs Name:*

First NameLast Name
Child's School Year*
Date of Birth: *

DayMonthYear
Date
YesNo
If Yes, please specify:
YesNo
If yes, please specify:
Parent/Carer Name:*

First NameLast Name
Relationship to Participant:
Emergency Contact 1:*
Please enter a valid phone number.Format: 00000 000000.
Email*
example@example.com
Emergency Contact 2:*
Please enter a valid phone number.Format: 00000 000000.
Email*
example@example.com
Yes, I give my consentNo, I do not give my consent

Payment*

Friday - Football - 3:15 - 4:15pm

6 weeks

£30.00

Childcare Vouchers

If you are making payment through Childcare Vouchers, please DO NOT reselect the days you require above. Ticking this box ONLY will ensure you are not prompted for card details.

£ Free Quantity

Subtotal

£0.00

Tax

£0.00

Total

£0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Childcare Voucher Provider (If not applicable put n/a):*
Should be Empty:

St Philips - After School Club

Dates: 13.06.25 - 18.07.25