Activities Registration

Holiday Activities, Registration Form

* Indicates required field

Parent/Carer Name *

First

Last

Phone Number *

First Child Name (£15.00) *

First

Last

Second Sibling (£12.00) *

First

Last

Third Sibling (£12.00) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Age of Child 1 *

08:30 Early Start @ £3.00? *

Yes No

Age of Child 2 *

08:30 Early Start @ £3.00? *

Yes No

Age of Child 3 *

08:30 Early Start @ £3.00? *

Yes No

Dates *

Monday 9th April Tuesday 10th April Wednesday 11th April

Parent/Carer Contact Email Address *

Please use the comments box below to let us know if they have any special dietary requirements that would affect their lunch. We also ask that you tell us if your child has any major medical problems that you feel we should know about.

Comment *

Submit