To register your child for the 2023-2024 academic year please submit the form below.

Breakfast club and Afterschool Club Registration Form

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Child's Full Name *

Child's Date of Birth *

 

Child's Class

Parents/Carers Names and Phone Number *

The Following people may collect my child (please include phone numbers) *

Please include additional names and phone numbers of who to contact incase of an emergency *

Does your child have any allergies or specific food preferences e.g vegetarian? *

Does your child have any medical or special needs we need to be aware of? (please specify) *

Days likely to attend - Breakfast Club

 Monday

 Tuesday

 Wednesday

 Thursday

 Friday

 Varies/unsure

Days likely to attend - After School Club

 Monday

 Tuesday

 Wednesday

 Thursday

 Friday

 Varies/Unsure

I give permission for first aid to be administered should my child require it and to seek medical assistance should it be required *

 Yes

 No

I agree to adhere to the terms and conditions (see policy) *

 Yes