This form is to refer your child for our Afterschool Club for May 2022 to March 2023.

Please complete this form carefully to ensure we have all the necessary information to identify if this is a suitable service for your child and that we can support them appropriately.

All details on this form will remain confidential and will be stored in line with the requirements of the General Data Protection Regulations (GDPR). Prior to completing this Referral Form, please ensure you have read our Privacy Notice, which can be found here: www.novachildrensproject.co.uk/privacynotice.