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Early Inspirations Afterschool Club
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Parent Name
*
Your answer
Child's Full Name
*
Your answer
Child Date of Birth
*
MM
/
DD
/
YYYY
Current Primary School
*
Your answer
Current Year Group
*
Your answer
Teacher's Name and Class
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Please provide a password that can be used for safe collection purposes.
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Any additional needs/disabilities? If yes, please state below:
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Does your child have any allergies?
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Our Afterschool club runs from 3.15pm to 6pm, please select which days you would require this service
Monday
Tuesday
Wednesday
Thursday
Friday
Would you require Breakfast Club?
From 8am your child would be dropped off at school by a member of staff. If so which days?
Monday
Tuesday
Wednesday
Thursday
Friday
Parent Email
*
Your answer
Full address
*
Your answer
Parent Contact Number
*
Your answer
Other Parent contact number
*
Your answer
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