KS2 Breakfast Club Application
Thank you for your interest in our Breakfast Club.

Please complete this form if your child is in KS2 and you would like them to attend our Breakfast Club.  

The cost is £10 per week, payable half termly in advance whether your child attends for the whole week or part.

Drop off time is currently 8am - 8.15am at the main school gate.

If you wish to cancel your child's place, this should be done in writing and sent to the school office.

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Child's Name and Class *
Date of Birth *
Home Address *
Which days would you like your child to attend? *
Verplicht
Emergency Contact 1 (please provide a name, their relationship to you and a contact telephone number) *
Emergency Contact 2 (please provide a name, their relationship to you and a contact telephone number) *
Food Allergies or Dietary Requirements (both medical and for religious reasons)
Any Medical Conditions that staff need to be aware of
Please tell us what your child likes best or dislikes having for breakfast so we can try and ensure that they have an even better morning.
Name of Parent making application and date
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