After School Club

AFTER SCHOOL CLUB

 

Please complete and return this form to After School Club.

 

Name of Parent(s)

 

Name of Child

 

 

Date of Birth (DD/MM/YYYY)

 

 

Class/Year group

 

 

Address

 

 

 

 

 

Telephone Number(s)

 

 

Medical Information or Allergies of your Child

 

 

Any other useful information about your child

 

 

 

Until 4pm - £3

Until 5.45 - £6.50

 

All payment must be made via Scopay in advance.

 

I confirm that the above information is correct and I will update After School Club if my details change.

 

 

Signed …………………………………………………………..…Date……………………

 

 

Parents who are late collecting their child/ren will incur a penalty charge of £5.00 per child after 5.45pm. An additional charge of £5 will be incurred for every 15 minutes thereafter. Any child/ren left for more than 45 minutes may result in the intervention of Social Services and/or the police being contacted. Persistent (more than 3 late collections in any 12-month period) late pickups will result in the removal of your child/ren’s place(s).