Booking Form Autumn Term 2021 (SEP-DEC)
Please complete by Friday 25th June 2021. Places are not guaranteed if returned after this date.
Session Fees Per Child:
Breakfast Club - £3.50
After School Club - £9.50

Please ensure you check your bookings are accurate before submitting. Changes and additions will be considered after the closing date. Unfortunately casual bookings are not available.
If you have children attending on different days then you are able to complete 1 form per child if easier.

Please Note Wednesday 1st September 2021 and Friday 22nd October 2021 are INSET DAYS


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Email *
Parent Name
Emergency Contact Number
Child 1 - Surname
Child 1 - First Name
Child 1 - DOB
MM
/
DD
/
YYYY
Child 2 - Surname
Child 2 - First Name
Child 2 - DOB
MM
/
DD
/
YYYY
Child 3 - Surname
Child 3 - First Name
Child 3 - DOB
MM
/
DD
/
YYYY
BC
Please select  for Breakfast Club and check before submitting - in order of week beginning
Monday
Tuesday
Wednesday
Thursday
Friday
w/b 30th August 2021 (Closed Mon,Tue,Wed)
w/b 6th September 2021
w/b 13th September 2021
w/b 20th September 2021
w/b 27th September 2021
w/b 4th October 2021
w/b 11th October 2021
w/b 18th October 2021 (Closed Friday)
w/b 1st November 2021
w/b 8th November 2021
w/b 15th November 2021
w/b 22nd November 2021
w/b 29th November 2021
w/b 6th December 2021
w/b 13th December 2021
Total Number of Sessions (BC) *
ASC
Please select  for After School Club and check before submitting - in order of week beginning
Monday
Tuesday
Wednesday
Thursday
Friday
w/b 30th August 2021 (Closed Mon,Tue,Wed)
w/b 6th September 2021
w/b 13th September 2021
w/b 20th September 2021
w/b 27th September 2021
w/b 4th October 2021
w/b 11th October 2021
w/b 18th October 2021 (Closed Friday)
w/b 1st November 2021
w/b 8th November 2021
w/b 15th November 2021
w/b 22nd November 2021
w/b 29th November 2021
w/b 6th December 2021
w/b 13th December 2021 (Closed Friday)
Total Number of Sessions (ASC) *
Please add any additional comments about bookings if necessary e.g. Child 1 will not attend on a Wednesday
Method of Payment
Clear selection
Payment Reference *
Name of childcare provider if applicable
By submitting you are agreeing to the following terms and conditions.                             CANCELLATION/SICKNESS: Unfortunately once a child has been booked in we cannot refund, change or offer credits for cancellation or sickness. We have to book our staff in advance and whether or not all children turn up we still have to pay the staff.                                                                                  You will receive confirmation of your booking within 2 weeks of the closing date.  If you do not receive confirmation, please check with BC/ASC. After this date, any remaining places will be available for new users and anyone changing days. Places are limited on some days and will only be reserved on receipt of booking form. AND full set of post-dated cheques for term. Dishonoured cheques may result in places lost.  Please see club polices on website for full terms and conditions.                                                                                       Unfortunately casual bookings are not available.
A copy of your responses will be emailed to the address you provided.
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