Breakfast Club One Off Bookings

Child's Name *

First

Last

Class *

Date Extended Day is required *

Is this Extended Day booking for after your child's club?

Name of adult collecting if not the parent

Emergency telephone number of person collecting *

Any dietary requirements?

Any messages to pass on to staff?

If your child is in Years 4-6 they are expected to go to Homework Club which finishes at 5:30pm. Please select if you would like your child to go to Extended Day after Homework Club

Yes

Parent's Name *

First

Last

Email *

GDPR Agreement *

I consent to this website storing the information I have submitted in order to respond to my enquiry.

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