Kidzone booking form Sept 2022- July 2023
Booking form for Kidzone 2021 - places are limited and will be allocated on a 'first come served' basis. We will confirm your place by email.
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Email *
What is your child's full  name *
What class is your child in? *
Required
Which days do you require Breakfast Club?
Which days do you require After School Club?
Would you require half session 3.10pm until 4.10pm for £5 or full session 3.10pm until 6.00pm for £13.50. NB all pick ups after 4.10 pm will be charged the full rate.
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What date would you like to start your sessions? *
Does your child have any dietary requirements? If yes, please specify
Does your child need to take any medication whilst at Kidzone? If yes, please specify
Who will be collecting your child from Kidzone after school club?  Please include their telephone number.
I hereby agree that the information I have provided is correct.  Please state your name (parent or carer) and your emergency contact number? *
Date
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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