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Kidzone booking form Sept 2023 - July 2024
Booking form for Kidzone 2023 - places are limited and will be allocated on a 'first come first served' basis.
We will confirm your place by email.
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* Indicates required question
Email address
*
Your answer
What is your child's full name
*
Your answer
What class is your child in?
*
Reception - Caterpillars
Reception - Ladybirds
Year 1 - Rabbits
Year 1 - Squirrels
Year 2 - Badgers
Year 2 - Hedgehogs
Year 3 - Dragonflies
Year 3 - Butterflies
Year 4 - Robins
Year 4 - Starlings
Year 5 - Swans
Year 5 - Herons
Year 6 - Eagles
Year 6 - Owls
Harbour Centre - KS1
Harbour Centre - KS2
Required
Which days do you require Breakfast Club
*
Monday
Tuesday
Wednesday
Thursday
Friday
None
Other:
Required
Which days do you require After School Club
*
Monday
Tuesday
Wednesday
Thursday
Friday
None
Other:
Required
Would you require half session 3.10pm until 4.10pm for £5 or full session 3.10pm until 6pm for £13.50?
NB all pick ups after 4.10pm will be charged the full rate.
*
Half session - 3.10pm with pick up at 4.10pm
Full session - 3.10pm with pick up after 4.10pm until 6pm
Neither - I only want a breakfast club session
Required
What date would you like to start your sessions?
*
MM
/
DD
/
YYYY
Does your child have any dietary requirements? if yes, please specify
Your answer
Does your child need to take any medication whilst at Kidzone? If yes, please specify
Your answer
Who will be collecting your child from Kidzone after school club? Please include their telephone number
Your answer
I hereby agree that the information I have provided is correct. Please state your name (parent of carer) and your emergency contact number
*
Your answer
Date
MM
/
DD
/
YYYY
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