Breakfast Club
Children must arrive by 8.15am and no later than 8.30am and wait in Reception with an adult to be met by a member of Breakfast Club staff. No child should be dropped off and left unattended. Please note there is no admittance to Breakfast Club after 8.30am.
Sign in to Google to save your progress. Learn more
Email *
Names of Children *
Classes of Children *
Main Contact Name *
Main Contact Telephone Number *
Emergency Contact Name *
Emergency Contact Telephone Number *
Breakfast Club Dates
Monday
Tuesday
Wednesday
Thursday
Friday
W/C 18th March
W/C 8th April
W/C 15th April
W/C 22nd April
W/C 29th April
W/C 6th May
W/C 13th May
W/C 20th May
Allergies - please state child's name and list any food allergies *
Any other Medical Requirements *
If yes, please state child's name and list any medical requirements
Privacy Notice
Any information you provide may be held or processed by the School for those purposes contained in the School's current notification to the Information Commissioner and in accordance with the provisions of the Data Protection Act 1998.  The information may be shared with third parties as and when necessary in order to verify the information, for the prevention or detection of crime and/or for the purposes of discharging any statutory or administrative function or as required by law.  This information will be shared with the Local Authority, the Welsh Government and North Wales Regional School Improvement Service (GwE). The school’s Information Management policy is available from the Head Teacher and further information on Data Protection can be obtained from Flintshire County Council (FCC), Directorate of  Lifelong Learning's Data Protection Officer on 01352 702178.  There is also information available covering FCC policies on Data Protection, Freedom of Information and Privacy.  Please see www.flintshire.gov.uk website and follow Website Navigation at the foot of the Home Page.

By submitting this form you agree that any personal information you provide may be held or processed by the School for those purposes contained in the School's current notification to the Information Commissioner and in accordance with the provisions of the Data Protection Act 1998.  You also agree that any personal information you provide may be shared with third parties as and when necessary in order to verify the information, for the prevention or detection of crime and/or for the purposes of discharging any statutory or administrative function or as required by law.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Hwb. Report Abuse