Teacher strike days with Shout Out! - 5th & 7th July 2023
Please complete this form and further details will be sent to you. Please only complete the form ONCE
Child 1
*
Full name
Age
Child 2
Full name
Age
Child 3
Full name
Age
Parent's name
*
First Name
Last Name
Parents email
*
example@example.com
Phone number
*
Address
*
address line 1
Street Address Line 2
City
State / Province
Post code
Will you require Lunch Buffet? (included in the cost)
*
Yes
No
Vegetarian
which day(s) would you like to sign your child up too?
*
Wednesday 5th July
Friday 7th July
Please let us know about any medical / Allergy information including all information about any medication your child may need during their time with us.
Do you consent to your child appearing in photographs / videos of the day to document the activities and marketing purposes?
*
Yes
No
Payment is not due until the class is confirmed to go ahead. This will happen when the school closures are confirmed and you will be sent class and payment information. You will be required to make your payment to confirm your child's place.
*
I understand
Submit
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