Childcare Booking Form 
This booking for covers the week beginning 6.2.23

Please enter your child's full name and class on the days and sessions you would like to book them in.
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Email *
Monday 6.2.23
Monday Breakfast Club
Monday After School Club
Tuesday  7.2.23
Tuesday Breakfast Club
Tuesday After School Club
Wednesday 8.2.23
Wednesday Breakfast Club
Wednesday After School Club
Thursday 9.2.23
Thursday Breakfast Club
Thursday After School Club
Friday 10.2.23
Please be aware that there is no Friday After School Care
Friday Breakfast Club
Name of adult completing the booking *
Emergency contact number to be used during the sessions booked. *
Payment Method *
Any Additional Information (e.g. allergies)
A copy of your responses will be emailed to the address you provided.
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