Richmond House Tots Booking
Please complete the following form to book a place at Richmond House Tots.
**Only a few places remaining for the Summer term**
Dates: Friday 11 June - Friday 9 July 2021
Cost: £5 per session or £15 for all 5 sessions.

Numbers are limited and will run in accordance with Government Guidance on Covid-19.


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Email *
Full Name *
Full Address and postcode *
Contact Telephone Number
Email address *
Name of child / children *
Date of birth of child / children *
Please tick which sessions you would like to attend: (Cost: £5 for each session or £15 for all 5 sessions) *
Required
How did you hear about us? *
Required
I confirm that should I or anyone within my household show symptoms of Covid-19 I will not attend a session until the period of self isolation is completed. I will also inform the school if I (or my child) develop Covid-19 symptoms or have a positive Covid-19 test within 48 hours of attending a session. *
Required
Please send payment to Lloyds Bank, sort code 30-65-22, Account No. 82786760 in advance of your session(s). Unfortunately we cannot accept cash on arrival. Please use Tots and your surname as reference.
Any questions or comments?
Date *
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