December Xmas Holiday Club

Please use the form below to request your child's Holiday Club sessions. Your contact details are requested at the bottom of the form, please ensure you provide two contact numbers in case of an emergency. When the form is completed please use 'submit' to email your request. Once your request is received you will be sent an email confirming your booking. Please note the HPS and LASC number is 07429807938. This is available during After School and Holiday times only.

Please mark your required sessions by clicking the appropriate field. - 8.30am - 4.30pmTuesday 2nd January

Please complete all fields below


Child's name
Age
Primary School
Parent/Carer name
Email address
Contact Telephone number (1)
Contact Telephone number (2)
Medical information (if none, state NONE)
Allergies (if none, State NONE)
Collection Password
Notes
I give permission for my child to have photos taken Yes/No
I give permission for my child to be taken on local visits away from School site Yes/No

Please enter your email address to get confirmation of your booking*