Extended Services 2022/2023
Please complete this form for our breakfast club and after school care services for September.  Places are available for all rolling applications and will be confirmed on Friday 2nd September.  
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Days Breakfast Club required (please tick all that apply) *
Required
Days After School Care required (please tick all that apply) *
Required
4:15pm pick up time required for After School Care (please tick all that apply) *
Required
6pm pick up time required for After School Care (please tick all that apply) *
Required
Any notes
Child's name *
Child's year group in September *
Parent/carer name and contact number in case of emergency (please list as many as necessary) *
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