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Holiday Club
Holiday Club - Application

Holiday Club - Application

Please note the booking period runs from Monday 4th March 2024 until Friday 15th March 2024 - no bookings will be taken after this date

Tuesday 2nd April 2024 to Friday 12th April 2024

Contact details for your child

Child's Family Name (Surname) :* Child's First Name :* Date of Birth :* Parent / Carer Name :* Contact Details (telephone) : Emergency Contact :* Parent / Carer email address :* My child will be collected by:*

My child can walk home alone :*YesNo

Your Child

Child's Full Name* School & Class*

Does your child have any medical needs?*YesNo

If yes, please provide details. Please note should your child require medication to be administered during their time at the Holiday Club a consent form will need to be completed.

Does your child have any additional needs?*YesNo

If yes, please give details:

Sessions

Daily sessions start at 08:45am and finish at 16:45pm and cost £20:00. We also provide an additional hour in the morning (07.45 to 08:45) and an additional hour in the evening (16.45 to 17.45), the cost is £5 for each additional hour attended.

TRIPS - Please note we have a limited amount of spaces per trip, therefore early booking is advised to avoid any disappointment. Please note children have to be 5 years old and over to attend any trip.Adventure Play - £15:00Bowling - £15:00

Please indicate below which days your child will be attending*Tuesday 2nd April 2024Wednesday 3rd April 2024Thursday 4th April 2024Friday 5th April 2024Monday 8th April 2024Tuesday 9th April 2024Wednesday 10th April 2024Thursday 11th April 2024Friday 12th April 2024

Tuesday 2nd April 202408:45am-4:45pm7:45am-8:45am4:45pm-5:45pmLunch required (£2.50)Packed lunch provided

Wednesday 3rd April 202408:45am-4:45pm7:45am-8:45am4:45pm-5:45pmLunch required (£2.50)Packed lunch providedAdventure Play (£15.00)

Thursday 4th April 202408:45am-4:45pm7:45am-8:45am4:45pm-5:45pmLunch required (£2.50)Packed lunch providedBowling £15.00

Friday 5th April 202408:45am-4:45pm7:45am-8:45am4:45pm-5:45pmLunch required (£2.50)Packed lunch provided

Monday 8th April 202408:45am-4:45pm7:45am-8:45am4:45pm-5:45pmLunch required (£2.50)Packed lunch provided

Tuesday 9th April 202408:45am-4:45pm7:45am-8:45am4:45pm-5:45pmLunch required (£2.50)Packed lunch providedAdventure Play £15.00

Wednesday 10th April 202408:45am-4:45pm7:45am-8:45am4:45pm-5:45pmLunch required (£2.50)Packed lunch provided

Thursday 11th April 202408:45am-4:45pm7:45am-8:45am4:45pm-5:45pmLunch required (£2.50)Packed lunch providedBowling (£15.00)

Friday 12th April 202408:45am-4:45pm7:45am-8:45am4:45pm-5:45pmLunch required (£2.50)Packed lunch provided

Total cost*

Payment method:*Parent Pay (only for children who attend Mission Grove)Bacs TransferChildcare Vouchers (please provide a reference number)CashDebit Card payment

I have read and accept the Terms & Conditions for Mission Grove Primary School Holiday Club*YesNo

Our school dinners cost £2:50 per day. If your child brings a packed lunch no items can contain NUTS or GELATINE. Please state if your child has any special dietary requirements due to allergic reactions, cultural or religious beliefs. Print Full Name & Date*

I give consent for my child to be photographed or filmed and these images may be used on the school website and / or twitter account or Local Authority promotions.*YesNo

Print Full Name & Date*

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Holiday Club - Application

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