Oulton Breakfast and Teatime Club Application Form

Oulton Breakfast and Teatime Club Application Form
Child's Name

First NameLast Name
Child's Class
Parent/Carer Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: 00000 000000.
Date

DayMonthYear
Date
My child also has sibling(s) who attend Breakfast and/ or Teatime Club. Please state their name & current class below:
We will use this information to ensure sibling priority takes place where a session is over subscribed
Any other information you feel may help us in caring for your child
Sessions Request
Breakfast Club (From 7:30am until 8:50am £5.50 per session)
Teatime Club slot 1 (From 3:20pm until 4:20pm £7.50 per session)
Teatime Club slot 2 (From 3:20pm until 5:45pm, £11.50 per session)
Breakfast Club & Teatime Club Combined (From 7:30am-5:45pm, £15 per session)
School inset-days (usually 5 training days per academic year) from 7:30am-5:30pm, £40 per day. The school inset days are registered separately. I'm interest in the sessions for 1 or more days:
Does your child have any additional or special educational needs?
If yes, please provide further details
Payment Information
All payments will show on your Arbor account. This includes the one off registration fee £25 (New applicants only) late fees and any extra sessions.

We use the Arbor APP for all school payments including Breakfast and Teatime Club. New to school? Once your child has started at our school you will be sent a Arbor login to ensure payments can be made swiftly and in advance, as per our terms and conditions.
Will you use any Childcare Vouchers?
Childcare Voucher Provider name (please add not applicable if not use):
Signature
Date

DayMonthYear
Date
Should be Empty:

Oulton Breakfast and Teatime Club Application Form

Sessions Request

Payment Information