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……………………