Parent Name

Child Name 

Childs Age

Preferred Activities:

Tax-Free Childcare Account? (Yes / No)

Childcare Voucher Available? (Yes / No)

Preferred Attendance Dates

Preferred Session Type:

Phone Number (required)

Consent Box:

✅ I consent to Kings Centre of Learning collecting and processing my personal information for the purpose of arranging holiday club provision. I confirm I am the parent or legal guardian of the child listed above. My data will be stored securely and not shared without my permission.