Easter Holiday club

First name

Last name

Phone number

Please select each of the dates your child will be attending

Monday 7th April£30

Tuesday 8th April£30

Wednesday 9th April£30

Thursday 9th April£30

Friday 10th April£30

Additional hours of 8am - 5:30pm (per day)£5

Normal hours run from 9am - 3pm, additional hours are required if you would like childcare from 8am - 5:30pm.

Ensure to add additional hours on each day they are required.

Please state here which days you require additional hours

If you required additional hours, please detail below which of the above dates this applies to.

Does your child have any allergies we should be aware of?

Is your child on any medication that we should be aware of?

Please include if this medication would need to be administered throughout the day, as well as the frequency.