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Breakfast Club Booking Form

The club starts at 7:45 am or 8:00 am until school starts. The latest you can bring your child is 8.20 am.

The charges are:
£3.15 per session starting at 7:45 am (£15.75 per week)
£2.50 per session starting at 8:00 am (£12.50 per week)
For one-off ad hoc sessions charges are:
£5.15 for session starting at 7:45 am
£4.50 for session starting at 8:00 am
All fees are payable in advance.
The children will be involved in various activities, which include reading books, drawing and playing various different games.
    Please be advised that charges also apply to non-attended sessions.

    Please refer to Extended Services Policy - Terms and Conditions.

    Please make a note of the Breakfast Club contact number 07387792154
    Financial Help / Information on Tax-Free Childcare Options below
    https://www.gov.uk/tax-free-childcare

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    * 1. Name of child 1:

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    * 2. Year Group

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    * 3. Session/s time 

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    * 4. Booking pattern

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    * 5. If one-off booking please confirm exact date. Charge of £5.15 or £4.50 will apply for each session.

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    * 6. Please provide details of any medical conditions the team should be aware of, and any emergency action that should be taken.

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    * 7. Does your child have any diagnosed/undiagnosed needs or concerns?

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    * 8. Does your child have any dietary requirement / food allergies?

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    * 9. Mother’s Name/Contact Number

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    * 10. Father’s Name/Contact Number

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    * 11. Emergency contact full name & number:

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    * 12. Date:

    Date

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    * 13. Signature/Application Date:

    T