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Breakfast and Afterschool Club Application
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* Indicates required question
Child's Forename:
*
Your answer
Child's Surname:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Year Group
Nursery
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Name of Parent/Guardian
*
Your answer
Home address including postcode
*
Your answer
Mobile Number:
*
Your answer
Email Address:
*
Your answer
My brother/sister already attends Hitherfield:
*
Yes
No
Required
If yes, please provide name and class of sibling
Your answer
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