Extended Day provision - registration form 2021 - 2022
Dates for booking for next academic year can only be added once our system rollover has happened. This rollover is not able to happen until the first week of the Summer holidays. Booking will go live at 9am on Wednesday 28th July (depending on any technical difficulties).

Our website explains the process https://www.wellsteadprimary.co.uk/wraparound-care/

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Email *
Child's name *
Child's class for 2021 - 2022 *
Name of emergency contact for Breakfast Club hours (if applicable)
Emergency contact number for Breakfast Club hours (if applicable)
Name of emergency contact for Stay & Play hours (if applicable)
Emergency contact number for Stay & Play hours (if applicable)
Doctors' Surgery
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Please tell us if your child has any medical needs that we should be aware of
Please tell us if your child has any dietary needs that we should be aware of
Does your child have an inhaler in school? *
Does your child have an epipen or equivalent in school? *
I understand Breakfast Club and Stay and Play will use the photo permissions that are in place for school photos for our social media platforms (Twitter, Facebook, Instagram)
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Are you planning to pay by childcare vouchers?
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Are you planning to pay by tax free childcare?
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If you are paying by childcare vouchers or tax free childcare, please give details of provider/voucher company...
I confirm that I have read, understood and agree to abide by the terms and conditions
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A copy of your responses will be emailed to the address you provided.
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