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* 1. Child's name

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* 2. Child's current class

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* 3. My child currently attends Willows Breakfast or After School Club 

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* 4. My child is currently on the waiting list for Willows Breakfast or After School Club

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* 5. Breakfast Club booking - please select the days you wish your child to attend Breakfast Club

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* 6. What date will your child start attending Breakfast Club? (Remember, this form is for September 2019 onwards)

Date / Time

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* 7. After School Club booking - please select the days/times you wish your child to attend

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* 8. What date will your child start to attend After School Club? (Remember this form is for September 2019 onwards)

Date / Time

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* 9. My child has special dietary requirements.  Please write below:

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* 10. My child has specific medical needs.

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* 11. I understand that this application will be reviewed and the place is not secure until Woodpeckers has confirmed availability.  Once my child has a place at Breakfast or After School Club, that place will be secured for all subsequent half terms unless notified a half term in advance

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* 12. Fees: Wraparound care is bookable and payable half termly in advance however we also accept ad-hoc bookings if we have space. For one-off bookings, you will need to book and pay by 5pm the day before at the latest. The earliest we can confirm adhoc bookings is 2 weeks before the requested date.

Payment: All payments can be made using the school’s online payment system for which parents will receive a unique set up code. You can also pay using childcare vouchers or Tax Free Childcare.

Absences: Fees remain payable during periods of absence due to sickness and holidays taken by you within your booked sessions.

Late charges: Late collection and late payment will incur additional fees.  A late collection charge of £10 is payable, charged in 15 minute blocks after the end of the booked session. For example, the club closes at 6.00pm and if the parent arrives late at 6.10pm, a £10 charge is incurred. This would increase to £20 if collection made at 6.25pm.

I agree to the Breakfast and After School Club Terms and Conditions 

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