Shout Out! After School Clubs Registration Form
Please complete the form and you will be contacted with further information regarding your booking.
Child 1
*
Full name
Age
Child 2
Full name
Age
Child 3
Full name
Age
Parent's name
*
First Name
Last Name
Parent's Email
*
example@example.com
Parent's phone number
*
Which class would you like to sign your child up too?
*
Monday - Club Create
Wednesday- Craft Club
Thursday - Club Create
Friday - Performing Arts Club
What school does your child attend and do they require school pick up?
Brunel Field
Seftton park
Yes to pick up
No pick up required
If you require school pick up, please let us know what class your child is in
Class and Teachers name
Please let us know about any medical information / allergies and medication.
Do you give permission for your child to appear in Photographs/videos taken during the classes for marketing purposes?
Yes
No
Do you give permission for Shout Out! to contact you regarding other classes running during the school holidays / inset days etc?
Yes
No
Submit
Should be Empty: