Which school does your child/ren attend?

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* 1. Which school does your child/ren attend?

Parent/carers name including surname

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* 2. Parent/carers name including surname

Your first child's name including surname

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* 3. Your first child's name including surname

Your first child's class

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* 4. Your first child's class

Your second child's name including surname

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* 5. Your second child's name including surname

Your second child's class

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* 6. Your second child's class

When do you want the club to start?

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* 7. When do you want the club to start?

Do you wish to book for the whole school year or the term?

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* 8. Do you wish to book for the whole school year or the term?

Your email address

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* 9. Your email address

Your telephone number

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* 10. Your telephone number

Please select the days your require ASC, if you require irregular dates please use the other information box to list the dates.

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* 11. Please select the days your require ASC, if you require irregular dates please use the other information box to list the dates.

Does your child have a special need or disability?

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* 12. Does your child have a special need or disability?

Does your child have any allergies?

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* 13. Does your child have any allergies?

Does your child have any dietary requirements?

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* 14. Does your child have any dietary requirements?

How do you wish to pay?

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* 15. How do you wish to pay?

Terms and Conditions of Wrap Around Care

Booking and payment needs to be made in advance via ParentPay (Reach parents), Childcare Vouchers or bank transfer
All children are expected to behave appropriately, behaviour will be managed within the schools guidelines.
If your child is absent from the club for more than 5 consecutive days we will issue a refund or credit.
Please collect your child on time from ASC (6 pm) late collections will be charged at £1 per minute.
Emergency sessions (within 5 days of session required) can be booked subject to availability.

Please note that once we have received your booking it will be processed on Tuesday 28th August.
Do you agree to the terms and conditions?

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* 16. Do you agree to the terms and conditions?

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