Extended Care Registration Form 2023-24

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Extended Care Registration Form 2023-24

New academic Extended Care registration form 2023-24. Whilst the school holds most of the information requested below it is important that this form is completed.

All parents MUST complete this registration form before your child can attend the Extended Care Provision from 24th July 2023. This ensures we hold the most up to date contact and permission information not only for term-time but holiday clubs. Parent/Guardian please complete one form per child.

Email *

Pupil's First Name *

Pupil's Surname *

Pupil's Date of Birth *

YYYY

Please state if he/she is a child of a parent/s serving in the HM Forces: *

Yes

Other:

Required

Pupil's Year Group (Starting from Sept 2023) *

Class Name (from Sept 2023) *

Emergency Contact No.1 - Full Name: *

Emergency Contact No.1 - Contact Number (Home, mobile, work): *

Emergency Contact No.2 - Full Name: *

Emergency Contact No.2 - Contact Number (home, mobile, work): *

Password for another authorised person to collect your child: *

Medical Conditions (including allergies): (if none state N/A) *

Any Special Dietary Needs: *

Please advise of any likes, dislikes or phobias (eg favourite games, toys or TV programmes): *

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