Age Group (required)
Reception to Y3 (4.30-5.15pm)Y4 to Y8 (5.15-6pm)

Date(s) attending (required)
8th September15th September22nd September29th September6th October13th October20th October

Child #1 Full Name (required)

Child #1 Date of birth (dd/mm/yyyy) (required)

Child #1 Year Group (required)
ReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8

Child #1 medical information (including allergies) (required)

Child #2 Full Name

Child #2 Date of birth (dd/mm/yyyy)

Child #2 Year Group (required)
ReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8

Child #2 medical information (including allergies)

Parent/Guardian Name (required)

Parent/Guardian Email (required)

Parent/Guardian Phone number (required)

Emergency contact phone (required)

*if you would like to book places for more than 2 children please complete and submit an additional form

Do you agree to photos to be taken of your child for marketing and promotional materials (required)
YesNo

Do you agree to information being stored and processed for communication purposes in accordance with GDPR (required)
YesNo

Additional info

Payment Method (required)
CashPay Online