I would like to enrol my child into the After School Club. I understand that there is a charge of £6.00 per session (3.15 – 5.30pm) or £3 for split sessions (3.15 - 4.15 1st session or 4.30 – 5.30 2nd session). All bookings are payable in advance, weekly or termly.

To secure your child’s sessions, please tick the boxes for the sessions you wish to book and return this form to the office with your payment.

Name of Child ……………………………………………………..……..…… Class………………………………..

Cash Payment enclosed: YES / NO Payment made by Parent Pay: YES / NO

MON / 5th June / 12th June / 19th June / 26th June / 3rd July / 10th July / 17th July
1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full
TUE / 6th June / 13th June / 20th June / 27th June / 4th July / 11th July / 18th July
1st / 2nd / full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full
WED / 7th June / 14th June / 21st June / 28th June / 5th July / 12th July / 19th July
1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full
THUR / 8th June / 15th June / 22nd June / 29th June / 6th July / 13th July / 20th July
1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full
FRI / 9th June / 16th June / 23rd June / 30th June / 7th July / 14th July / 21st July
1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / 1st / 2nd / Full / INSET DAY / 1st / 2nd / Full / 1st / 2nd / Full
TOTAL DUE

PLEASE NOTE: WE CANNOT GIVE REFUNDS OR CREDITS FOR DAYS BOOKED AND NOT USED

Signed………………………………………………….……………………. Parent/Guardian

Please print name …………………………………………………….. Date……………………………………………….

Parent Contact no…………………………………………………….. Allergies………………………………………….

Academy Emergency no. for parents to contact the After School Staff: 07342 905 066