October 2025 Booking Form

Parent/Carer Contact Information:
Parent / Carer Full Name:*
Parent / Carer Email: *
Parent / Carer Phone Number: *
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Primary Living Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please state any shared custody, if applicable:*
(Divorced/separated with shared bi-weekly custody)
Emergency Contact Information:

Another person other than yourself to contact in case of an emergency!
First Emergency Contact's Name:*

First NameLast Name
Phone Number:*
Relationship to Child:*
Secondary Emergency Contact Information:

Another person other than yourself to contact in case of an emergency!
Second Emergency Contact's Name:*

First NameLast Name
Phone Number:*
Relationship to Child:*
Memorable Word for collection*

Have you been to Kidz4Ever before?*

YesNo
Do you give Kidz4Ever consent to take photos of your child / children?*

YesNo
How would you like to be contacted in the future?*

EmailText Message
By ticking this box you agree to our Terms and Conditions.*

Yes
How did you hear about us?*
Discount Code:
Kidz4Ever accepts childcare vouchers.
Kidz4Ever offers NHS, Military & Student discounts.

If you qualify for one of the above discounts, please upload your ID below or email kidz4ever22@gmail.com so we can process this with your invoice.
Thank you.
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Booking Notification

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Date
Should be Empty:

Child/Children's Information: